Individual
KRISTIN CUSHING
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
360 SUNAPEE ST, UNIT ONE, NEWPORT, NH 03773-5412
(603) 863-3260
(603) 863-3291
Mailing address
360 SUNAPEE ST, UNIT ONE, NEWPORT, NH 03773-5412
(603) 863-3260
(603) 863-3291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2960
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08Y007616NH01
ANTHEM
NH
05
—
30393090
—
NH
Enumeration date
02/14/2006
Last updated
07/08/2007
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