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NPI Code Detail

MEDICARE: KRISTINE DAVID PT

MEDICARE:   KRISTINE  DAVID  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician6465NV

General Provider Information

NPI Number : 1093663742
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINE DAVID PT
Provider Business Mailing Address
First Line : 4361 ALEXIS DR UNIT 338
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-7412
Country : US
Telephone Number : 575-791-0341
Fax Number :
Provider Business Practice Location Address
First Line : 4275 W BELL DR STE 6
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-1734
Country : US
Telephone Number : 575-791-0341
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2026
Last Update Date : 03/18/2026

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