Provider Demographics
NPI:1346389806
Name:ALBRECHT, KRIS (PT)
Entity Type:Individual
Prefix:
First Name:KRIS
Middle Name:
Last Name:ALBRECHT
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 1:2260 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-2209
Mailing Address - Country:US
Mailing Address - Phone:860-430-9255
Mailing Address - Fax:860-657-8739
Practice Address - Street 1:2260 MAIN ST
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-2209
Practice Address - Country:US
Practice Address - Phone:860-430-9255
Practice Address - Fax:860-657-8739
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003331225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist