NPI Code Details Logo

NPI 1093131914

NPI 1093131914 : AMBER LEIGH KRUMHOLTZ DPT : FORT WORTH, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1093131914
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    AMBER LEIGH KRUMHOLTZ DPT
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/16/2014
-----------------------------------------------------
    Last Update Date     |    01/30/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2909 SAWTIMBER TRL 
-----------------------------------------------------
    City                 |    FORT WORTH
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    76244-9405
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    817-937-4073
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2909 SAWTIMBER TRL 
-----------------------------------------------------
    City                 |    FORT WORTH
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    76244-9405
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    817-937-4073
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2251P0200X
-----------------------------------------------------
    Taxonomy Name        |    Pediatric Physical Therapist
-----------------------------------------------------
    License Number       |    1198880
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.