Individual
KIMBERLY S KRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-7428
(904) 542-7375
Mailing address
2080 CHILD ST, JACKSONVILLE, FL 32214-3369
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09123
OR
225200000X
Physical Therapy Assistant
—
FL
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
10/03/2018
Last updated
03/12/2025
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