Doctor Name: | MRS. KRISTA MARQUARDT |
NPI Number: | 1164483616 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT, CHT |
License Number: | 5501010147 |
Business Practice Address: | 940 River Centre Dr Port Huron, MI - 480604463 |
Business Phone Number: | 8109857412 |
Business Fax Number: | 8109854981 |
Mailing Address: | 5976 W Montevista Dr, FORT GRATIOT |
State: | MI |
Postal Code: | 480592703 |
Phone Number: | 8103851364 |
Fax Number: | |
NPI Enumeration Date: | 03/31/2006 |
NPI Last Update Date: | 11/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501010147 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |