Provider Demographics
NPI:1609802529
Name:WILLIAMS, KRISTIN B (MS PT)
Entity type:Individual
Prefix:MS
First Name:KRISTIN
Middle Name:B
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MS PT
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Mailing Address - Street 1:4716 OLD GETTYSBURG RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-4325
Mailing Address - Country:US
Mailing Address - Phone:717-975-4503
Mailing Address - Fax:
Practice Address - Street 1:616 EXECUTIVE PARK
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4206
Practice Address - Country:US
Practice Address - Phone:717-975-4503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN05008515A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist