Provider Demographics
NPI:1144614397
Name:HALL, KRISTI (LMT)
Entity Type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35888 CENTER RIDGE RD STE 5
Mailing Address - Street 2:
Mailing Address - City:NORTH RIDGEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44039-3086
Mailing Address - Country:US
Mailing Address - Phone:440-463-8544
Mailing Address - Fax:440-327-1533
Practice Address - Street 1:5329 N ABBE RD
Practice Address - Street 2:SUITE 1
Practice Address - City:SHEFFIELD VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44035-0602
Practice Address - Country:US
Practice Address - Phone:440-463-8544
Practice Address - Fax:440-327-1533
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-26
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH13530225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist