=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669317699
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KRISTIN DILL LMT AL 5124
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/23/2026
-----------------------------------------------------
Last Update Date | 04/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 213 2ND AVE E
-----------------------------------------------------
City | ONEONTA
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35121-1715
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-720-7124
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 213 2ND AVE E
-----------------------------------------------------
City | ONEONTA
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35121-1715
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-720-7124
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number | 5124
-----------------------------------------------------
License Number State | AL
-----------------------------------------------------