Provider Demographics
NPI:1104839802
Name:HARPER, KRISTY M (MPT)
Entity Type:Individual
Prefix:MRS
First Name:KRISTY
Middle Name:M
Last Name:HARPER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:MS
Other - First Name:KRISTY
Other - Middle Name:M
Other - Last Name:THORP
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:20 COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-3058
Mailing Address - Country:US
Mailing Address - Phone:610-518-9100
Mailing Address - Fax:610-518-0992
Practice Address - Street 1:20 COUNTRY CLUB DR
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-3058
Practice Address - Country:US
Practice Address - Phone:610-518-9100
Practice Address - Fax:610-518-0992
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT013934L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
048866Medicare ID - Type Unspecified