| Doctor Name: | MISS KRISTINA SWETLAND WILSON |
| NPI Number: | 1477871176 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T., D.P.T. |
| License Number: | 25257 |
| Business Practice Address: | 4401 Cortez Rd W Bradenton, FL - 342103142 |
| Business Phone Number: | 9413575550 |
| Business Fax Number: | 8552534836 |
| Mailing Address: | Po Box 25487, SARASOTA |
| State: | FL |
| Postal Code: | 342772487 |
| Phone Number: | 9413575550 |
| Fax Number: | 8552534836 |
| NPI Enumeration Date: | 05/06/2010 |
| NPI Last Update Date: | 04/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 25257 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| 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 |