Individual
KRISTY THIBODEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
250 E MAIN ST, NORTON, MA 02766-2436
(508) 285-5533
(508) 285-7977
Mailing address
250 E MAIN ST, NORTON, MA 02766-2436
(508) 285-5533
(508) 285-7977
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17223
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11491609
AETNA
MA
01
—
Y68454
BCBSMA
MA
Enumeration date
01/14/2007
Last updated
07/08/2007
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