Provider Demographics
NPI:1376058040
Name:KALINA, KERRI (MS, LAT, ATC, CCT)
Entity Type:Individual
Prefix:MS
First Name:KERRI
Middle Name:
Last Name:KALINA
Suffix:
Gender:F
Credentials:MS, LAT, ATC, CCT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2329 CHART DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-5305
Mailing Address - Country:US
Mailing Address - Phone:817-584-4220
Mailing Address - Fax:
Practice Address - Street 1:800 W CAMPBELL RD
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3021
Practice Address - Country:US
Practice Address - Phone:972-883-2111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-04
Last Update Date:2017-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT56492255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer