| Doctor Name: | KRISTINA R STANICH |
| NPI Number: | 1285049544 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, DPT, SCS, LAT |
| License Number: | 1209096 |
| Business Practice Address: | 100 Country Club Rd Argyle, TX - 762262319 |
| Business Phone Number: | 9404640055 |
| Business Fax Number: | |
| Mailing Address: | 6303 W Shady Shores Rd, Apt #236 DENTON |
| State: | TX |
| Postal Code: | 762085528 |
| Phone Number: | 4054148203 |
| Fax Number: | |
| NPI Enumeration Date: | 06/25/2014 |
| NPI Last Update Date: | 06/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251S0007X |
| License Number: | 1209096 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Sports |
| Taxonomy Definition: | |