Individual
ALEX KYLE CRISTEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
911 SANDRA LN, JONESBORO, AR 72405-2573
(870) 919-6592
Mailing address
911 SANDRA LN, JONESBORO, AR 72405-2573
(870) 919-6592
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2745
AR
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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