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NPI Code Detail

MEDICARE: KRISTEN ELISE HUNSUCK PT

MEDICARE:   KRISTEN ELISE HUNSUCK  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 Therapist1316383TX
2225100000XPhysical Therapist293681CA

General Provider Information

NPI Number : 1356851513
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN ELISE HUNSUCK PT
Provider Business Mailing Address
First Line : 6200 E CANYON RIM RD STE 113-E
Second Line :
City : ANAHEIM
State : CA
Zip : 92807-4317
Country : US
Telephone Number : 714-974-0330
Fax Number : 714-279-6771
Provider Business Practice Location Address
First Line : 1744 E COMMON ST STE 400
Second Line :
City : NEW BRAUNFELS
State : TX
Zip : 78130-6079
Country : US
Telephone Number : 830-620-4922
Fax Number : 830-625-1194
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2017
Last Update Date : 03/27/2019

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Directions to “ KRISTEN ELISE HUNSUCK PT” Practice Location

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