Doctor Name: | MS. KRISTAN K HARDISON |
NPI Number: | 1033269584 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 3989 |
Business Practice Address: | 4232 E Cactus Rd Suite 110 Phoenix, AZ - 850327602 |
Business Phone Number: | 6029969949 |
Business Fax Number: | 6029966760 |
Mailing Address: | Po Box 32490, PHOENIX |
State: | AZ |
Postal Code: | 850642490 |
Phone Number: | 6022304478 |
Fax Number: | 6022309962 |
NPI Enumeration Date: | 01/10/2007 |
NPI Last Update Date: | 10/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3989 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |