MEDICARE: KRISTEN FRANK 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	05013550A	IN

General Provider Information

NPI Number	:	1982385423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN FRANK PT

Provider Business Mailing Address
First Line	:	1220 E JACKSON BLVD
Second Line	:
City	:	ELKHART
State	:	IN
Zip	:	46516-4419
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1220 E JACKSON BLVD
Second Line	:
City	:	ELKHART
State	:	IN
Zip	:	46516-4419
Country	:	US
Telephone Number	:	574-333-9747
Fax Number	:

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

Provider Enumeration Date	:	07/27/2023
Last Update Date	:	07/27/2023

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Directions to “ KRISTEN FRANK PT” Practice Location

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