Healthcare Provider Details

I. General information

NPI: 1912756099
Provider Name (Legal Business Name): KRISTEN LIN SEHR PT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2024
Last Update Date: 05/13/2024
Certification Date: 05/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 1ST AVE NE
CEDAR RAPIDS IA
52402-5004
US

IV. Provider business mailing address

830 1ST AVE NE
CEDAR RAPIDS IA
52402-5004
US

V. Phone/Fax

Practice location:
  • Phone: 319-369-8107
  • Fax:
Mailing address:
  • Phone: 319-369-8107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: