Healthcare Provider Details

I. General information

NPI: 1669317699
Provider Name (Legal Business Name): KRISTIN DILL LMT AL 5124
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 2ND AVE E
ONEONTA AL
35121-1715
US

IV. Provider business mailing address

213 2ND AVE E
ONEONTA AL
35121-1715
US

V. Phone/Fax

Practice location:
  • Phone: 205-720-7124
  • Fax:
Mailing address:
  • Phone: 205-720-7124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number5124
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: