Individual
KRISTINE MARIE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004453
IA
225100000X
Physical Therapist
0986
SD
225100000X
Physical Therapist
1284
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503513
—
NV
Enumeration date
08/18/2005
Last updated
09/08/2015
Update your record
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