Individual
MS. KRISTINA LOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4440 N 36TH ST, 240, PHOENIX, AZ 85018-3588
(602) 956-4040
(602) 956-4011
Mailing address
4440 N 36TH ST, 240, PHOENIX, AZ 85018-3588
(602) 956-4040
(602) 956-4011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6024
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120355
MEDICARE PROVIDER TRANSACTION ACCESS NUMBER (PTAN)
AZ
01
—
852675
AHCCCS ID#
AZ
01
—
AZ0294160
BCBS OF AZ PROVIDER ID#
AZ
Enumeration date
11/17/2006
Last updated
04/27/2016
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