Individual
KRISTIN MARY ELLENBECKER RIPPERDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
894
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5838690
—
SD
Enumeration date
10/14/2010
Last updated
11/25/2019
Update your record
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