| Doctor Name: | KRISTA DEMUTH |
| NPI Number: | 1083085914 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 1477 S Knowles Ave Suite 130 New Richmond, WI - 540172529 |
| Business Phone Number: | 7152464840 |
| Business Fax Number: | |
| Mailing Address: | 1477 S Knowles Ave, Suite 130 NEW RICHMOND |
| State: | WI |
| Postal Code: | 540172529 |
| Phone Number: | 7152464840 |
| Fax Number: | |
| NPI Enumeration Date: | 10/19/2015 |
| NPI Last Update Date: | 10/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |