Provider Demographics
NPI:1003943952
Name:KLEINSASSER, KRISTI ANN (DPT)
Entity Type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:ANN
Last Name:KLEINSASSER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KRISTI
Other - Middle Name:ANN
Other - Last Name:SATTERTHWAITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1631 HIGHWAY 11
Mailing Address - Street 2:
Mailing Address - City:ELBA
Mailing Address - State:NE
Mailing Address - Zip Code:68835-2017
Mailing Address - Country:US
Mailing Address - Phone:308-863-2146
Mailing Address - Fax:
Practice Address - Street 1:470 W 94TH ST
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-1941
Practice Address - Country:US
Practice Address - Phone:402-744-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2468225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025372500Medicaid
NE02302OtherBLUE CROSS BLUE SHIELD