Individual
MRS. KRISTIN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1595 S CALUMET RD STE 3, CHESTERTON, IN 46304-2389
(219) 764-4888
(219) 898-4258
Mailing address
1739 W TIFFANY WOODS DR, LA PORTE, IN 46350-7004
(219) 851-1193
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014874A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200196020A
—
IN
Enumeration date
11/08/2022
Last updated
08/27/2024
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