Healthcare Provider Details

I. General information

NPI: 1033618756
Provider Name (Legal Business Name): KRISTINA ALLY BOND DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2018
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 4TH ST
CLOVIS CA
93612-1124
US

IV. Provider business mailing address

615 4TH ST
CLOVIS CA
93612-1124
US

V. Phone/Fax

Practice location:
  • Phone: 559-322-5345
  • Fax:
Mailing address:
  • Phone: 559-322-5345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT296359
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: