Provider Demographics
NPI:1205223856
Name:DR. KRISTYN J CRAIGMILES, DPT
Entity Type:Organization
Organization Name:DR. KRISTYN J CRAIGMILES, DPT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTYN
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:CRAIGMILES
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:913-956-9412
Mailing Address - Street 1:11670 WEDD ST
Mailing Address - Street 2:#10
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-3108
Mailing Address - Country:US
Mailing Address - Phone:913-956-9412
Mailing Address - Fax:
Practice Address - Street 1:11670 WEDD ST
Practice Address - Street 2:#10
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-3108
Practice Address - Country:US
Practice Address - Phone:913-956-9412
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-03166251E00000X
MO8251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health