Doctor Name: | MS. KRISTIN V. IVES |
NPI Number: | 1063494300 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 2305000759 |
Business Practice Address: | 209 W Criser Rd Suite 200 Front Royal, VA - 226302360 |
Business Phone Number: | 5406364592 |
Business Fax Number: | 5406368161 |
Mailing Address: | 209 W Criser Rd, Suite 200 FRONT ROYAL |
State: | VA |
Postal Code: | 226302360 |
Phone Number: | 5406364592 |
Fax Number: | 5406368161 |
NPI Enumeration Date: | 11/14/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 2305000759 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |