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NPI Code Detail

MEDICARE: KRISTIN MUNSEY MPT

MEDICARE: KRISTIN MUNSEY MPT
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
12251P0200XPediatric Physical Therapist19893CA

General Provider Information

NPI Number : 1063513315
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN MUNSEY MPT
Provider Business Mailing Address
First Line : 10431 COMMERCE ST STE A
Second Line :
City : REDLANDS
State : CA
Zip : 92374-0110
Country : US
Telephone Number : 909-783-1111
Fax Number : 909-783-3957
Provider Business Practice Location Address
First Line : 10431 COMMERCE ST STE A
Second Line :
City : REDLANDS
State : CA
Zip : 92374-0110
Country : US
Telephone Number : 909-783-1111
Fax Number : 909-783-3957
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 06/28/2021

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Directions to “ KRISTIN MUNSEY MPT” Practice Location

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