Doctor Name: | KRISTEN NEWSOME |
NPI Number: | 1104904424 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 377 Th Medical Group 2050a 2nd St Se Kirtland Afb, NM - 871170001 |
Business Phone Number: | 5058463146 |
Business Fax Number: | |
Mailing Address: | General Delivery, 2050a 2nd St Se KIRTLAND AFB |
State: | NM |
Postal Code: | 871179999 |
Phone Number: | 8137483916 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2006 |
NPI Last Update Date: | 08/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |