Individual
KRISTI MAXFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1107 VICTORIA DR, LONGVIEW, TX 75604-3473
(615) 585-1464
Mailing address
1107 VICTORIA DR, LONGVIEW, TX 75604-3473
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2130633
TX
Other
Enumeration date
12/18/2018
Last updated
04/28/2023
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