Individual
MRS. KRISTEN NOELLE LIRETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 15TH ST, AUGUSTA, GA 30901-2608
(706) 733-0188
Mailing address
2326 OVERTON RD, AUGUSTA, GA 30904-3446
(941) 812-1309
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014271
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT014271
PT LICENSE
GA
Enumeration date
02/20/2020
Last updated
11/27/2023
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