Provider Demographics
NPI:1275746612
Name:SOTH, KRISTEN MAJCHER (PT)
Entity Type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:MAJCHER
Last Name:SOTH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3708 MAYFAIR ST STE 120
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-6223
Mailing Address - Country:US
Mailing Address - Phone:984-215-4970
Mailing Address - Fax:984-215-4979
Practice Address - Street 1:3708 MAYFAIR ST STE 120
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6223
Practice Address - Country:US
Practice Address - Phone:984-215-4970
Practice Address - Fax:984-215-4979
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8125225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist