Doctor Name: | MRS. KRISTA BETH MERTENS |
NPI Number: | 1518031467 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OT |
License Number: | OT00001454 |
Business Practice Address: | 5210 Corporate Center Ct Se Suite D Lacey, WA - 985035952 |
Business Phone Number: | 3604558155 |
Business Fax Number: | 3604551655 |
Mailing Address: | 5210 Corporate Center Ct Se, Suite D LACEY |
State: | WA |
Postal Code: | 985035952 |
Phone Number: | 3604558155 |
Fax Number: | 3604551655 |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 08/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | OT00001454 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |