| Doctor Name: | KIRSTEN I. WIGHTMAN |
| NPI Number: | 1881934388 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | P13796 |
| Business Practice Address: | 582 S Sunnyvale Ave Sunnyvale, CA - 940866125 |
| Business Phone Number: | 4087334380 |
| Business Fax Number: | 9196204921 |
| Mailing Address: | 2350 W. El Camino Real, 2nd Floor MOUNTAIN VIEW |
| State: | CA |
| Postal Code: | 940406203 |
| Phone Number: | 4087334380 |
| Fax Number: | 6506916193 |
| NPI Enumeration Date: | 02/20/2013 |
| NPI Last Update Date: | 11/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | P13796 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| 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 |