| Doctor Name: | KRIS P ALBANESI |
| NPI Number: | 1225434707 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 5501011546 |
| Business Practice Address: | 921 S Beechtree St Suite 5 Grand Haven, MI - 494172385 |
| Business Phone Number: | 6168420555 |
| Business Fax Number: | 6168420553 |
| Mailing Address: | 921 S Beechtree St, Suite 5 GRAND HAVEN |
| State: | MI |
| Postal Code: | 494172385 |
| Phone Number: | 6168420555 |
| Fax Number: | 6168420553 |
| NPI Enumeration Date: | 11/12/2014 |
| NPI Last Update Date: | 11/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 5501011546 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |