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NPI Code Detail

MEDICARE: DR. KRISTEN LAND DPT

MEDICARE: DR. KRISTEN LAND DPT
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 Therapist043272NY

General Provider Information

NPI Number : 1295207223
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTEN LAND DPT
Provider Business Mailing Address
First Line : 1243 BETSIE RIVER RD
Second Line :
City : INTERLOCHEN
State : MI
Zip : 49643-9610
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 701 US HIGHWAY 31 S
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49685-8016
Country : US
Telephone Number : 231-932-9720
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2019
Last Update Date : 05/13/2025

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Directions to “ DR. KRISTEN LAND DPT” Practice Location

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