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NPI Code Detail

MEDICARE: KRISTEN SITZES

MEDICARE:   KRISTEN  SITZES
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
1225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12004033971OTHERMOLICENSE#

General Provider Information

NPI Number : 1104936871
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN SITZES
Provider Business Mailing Address
First Line : 16022 COUNTY ROAD 612
Second Line :
City : DEXTER
State : MO
Zip : 63841-9501
Country : US
Telephone Number : 573-614-0912
Fax Number :
Provider Business Practice Location Address
First Line : 906 N DOUGLASS ST
Second Line :
City : MALDEN
State : MO
Zip : 63863-1514
Country : US
Telephone Number : 573-276-5860
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 02/27/2015

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Directions to “ KRISTEN SITZES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.