Healthcare Provider Details

I. General information

NPI: 1891464699
Provider Name (Legal Business Name): KIRSTIN SESSOMS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2021
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48TH MDG/RAF LAKENHEATH UNIT 5115
APO AE
09461
GB

IV. Provider business mailing address

UNIT 5115
APO AE
09461-5115
US

V. Phone/Fax

Practice location:
  • Phone: 314-226-8561
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305214630
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: