MEDICARE: MS. KRISTEN LEIGH TOUNZCH 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
1	225100000X	Physical Therapist	62745242401	UT

General Provider Information

NPI Number	:	1548333909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KRISTEN LEIGH TOUNZCH PT

Provider Business Mailing Address
First Line	:	2100 E BENGAL BLVD
Second Line	:	#H205
City	:	COTTONWOOD HEIGHTS
State	:	UT
Zip	:	84121
Country	:	US
Telephone Number	:	214-585-8457
Fax Number	:

Provider Business Practice Location Address
First Line	:	WOODLAND PARK REHABILITATION CENTER
Second Line	:	3855 S 700 E
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84106
Country	:	US
Telephone Number	:	801-270-2524
Fax Number	:	801-281-9743

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	07/08/2007

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