Provider Demographics
NPI:1073985644
Name:KROON, KRISTA N (PT, DPT)
Entity Type:Individual
Prefix:
First Name:KRISTA
Middle Name:N
Last Name:KROON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1868 W HILLSBORO BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-1448
Mailing Address - Country:US
Mailing Address - Phone:954-480-2900
Mailing Address - Fax:954-480-6569
Practice Address - Street 1:1868 W HILLSBORO BLVD STE D
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-1448
Practice Address - Country:US
Practice Address - Phone:954-480-2900
Practice Address - Fax:954-480-6569
Is Sole Proprietor?:No
Enumeration Date:2015-10-22
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA23559225100000X
NY039437-1225100000X
FLPT33737225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist