Provider Demographics
NPI:1235326745
Name:CREED, KRISTA ANNE
Entity Type:Individual
Prefix:MRS
First Name:KRISTA
Middle Name:ANNE
Last Name:CREED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1261 BAY HARBOR DR APT 108
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34685-2491
Mailing Address - Country:US
Mailing Address - Phone:727-785-8540
Mailing Address - Fax:727-785-8540
Practice Address - Street 1:1261 BAY HARBOR DR APT 108
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34685-2491
Practice Address - Country:US
Practice Address - Phone:727-785-8540
Practice Address - Fax:727-785-8540
Is Sole Proprietor?:No
Enumeration Date:2007-09-28
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant