Individual
KRISTA LEE PRIDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1701 W 25TH ST, SIOUX CITY, IA 51103-1705
(712) 252-2726
Mailing address
25719 MAIN ST, SIOUX CITY, IA 51108-8708
(712) 301-8259
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
072199
IA
225200000X
Physical Therapy Assistant
809
NE
Other
Enumeration date
09/21/2007
Last updated
07/13/2020
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