Doctor Name: | KRISTY PENICK |
NPI Number: | 1396969838 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 5501012490 |
Business Practice Address: | 1018 North Ave Battle Creek, MI - 490173177 |
Business Phone Number: | 2699680888 |
Business Fax Number: | |
Mailing Address: | 286 Woodrow Ave S, BATTLE CREEK |
State: | MI |
Postal Code: | 490153125 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501012490 |
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 |