Healthcare Provider Details

I. General information

NPI: 1164485744
Provider Name (Legal Business Name): KRISTIN M KREITZER P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 NE 26TH TER
BOCA RATON FL
33431-7534
US

IV. Provider business mailing address

301 NE 26TH TER
BOCA RATON FL
33431-7534
US

V. Phone/Fax

Practice location:
  • Phone: 561-699-1474
  • Fax:
Mailing address:
  • Phone: 561-699-1474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number7640
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number7640
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: