| Doctor Name: | KRISTEN BACIK |
| NPI Number: | 1881014199 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, DPT |
| License Number: | .014667 |
| Business Practice Address: | 9500 Mentor Ave Suite 210 Mentor, OH - 440608713 |
| Business Phone Number: | 4403520934 |
| Business Fax Number: | 4403527562 |
| Mailing Address: | Po Box 33396, N ROYALTON |
| State: | OH |
| Postal Code: | 441330396 |
| Phone Number: | 4402301133 |
| Fax Number: | 4402309243 |
| NPI Enumeration Date: | 04/25/2014 |
| NPI Last Update Date: | 05/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | .014667 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| 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 |