Provider Demographics
NPI:1326432881
Name:KRISTINA LAGANA
Entity Type:Organization
Organization Name:KRISTINA LAGANA
Other - Org Name:KINESIS PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAGANA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:408-444-7422
Mailing Address - Street 1:15405 LOS GATOS BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-2500
Mailing Address - Country:US
Mailing Address - Phone:408-444-7422
Mailing Address - Fax:408-498-5842
Practice Address - Street 1:15405 LOS GATOS BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-2500
Practice Address - Country:US
Practice Address - Phone:408-444-7422
Practice Address - Fax:408-498-5842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-23
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35213261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy