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NPI Code Detail

MEDICARE: KRISTEN HEATHER MONZO PT

MEDICARE: KRISTEN HEATHER MONZO PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistP13829NC
2225100000XPhysical Therapist6931SC

General Provider Information

NPI Number : 1033346572
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN HEATHER MONZO PT
Provider Business Mailing Address
First Line : 625 KENMOOR AVE SE STE 100
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49546-2395
Country : US
Telephone Number : 616-356-5000
Fax Number : 616-356-5001
Provider Business Practice Location Address
First Line : 501 FOREST LN STE A
Second Line :
City : CLEMSON
State : SC
Zip : 29631-2621
Country : US
Telephone Number : 864-654-2001
Fax Number : 800-305-7112
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2009
Last Update Date : 02/27/2024

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Directions to “ KRISTEN HEATHER MONZO PT” Practice Location

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