| Doctor Name: | KRISTOPHER DAVID BOSCH |
| NPI Number: | 1306860671 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, DPT, ATC |
| License Number: | 026488 |
| Business Practice Address: | 900 W Warm Springs Rd Suite 103 Henderson, NV - 890114276 |
| Business Phone Number: | 7029075107 |
| Business Fax Number: | 7028252605 |
| Mailing Address: | 1302 Blue View Ct, NORTH LAS VEGAS |
| State: | NV |
| Postal Code: | 890311000 |
| Phone Number: | 7027689996 |
| Fax Number: | |
| NPI Enumeration Date: | 07/27/2006 |
| NPI Last Update Date: | 02/21/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 026488 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| 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 |