Individual
KRISTINA COLEMAN BEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
900 ROUND VALLEY DR, PARK CITY, UT 84060-7552
(435) 658-7000
(435) 658-7360
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
(435) 658-7350
(435) 435-7360
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22057
CA
225100000X
Physical Therapist
6290760-2401
UT
Other
Enumeration date
09/25/2009
Last updated
04/21/2026
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