Individual
KRISTEN NOELLE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, PTA
Contact information
Practice address
2484 W STATE ST, ALLIANCE, OH 44601-5608
(330) 829-2338
Mailing address
1465 WESTWOOD AVE, ALLIANCE, OH 44601-3502
(740) 755-0368
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
AT001333
OH
225200000X
Physical Therapy Assistant
Primary
07725
OH
Other
Enumeration date
04/25/2006
Last updated
03/26/2014
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