Provider Demographics
NPI:1427222371
Name:LETSCHER, KRISTIN L
Entity Type:Individual
Prefix:MS
First Name:KRISTIN
Middle Name:L
Last Name:LETSCHER
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:KRISTIN
Other - Middle Name:L
Other - Last Name:FINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CMTPT, LMT, NCTMB
Mailing Address - Street 1:5113 N WOLCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-2612
Mailing Address - Country:US
Mailing Address - Phone:773-334-4383
Mailing Address - Fax:
Practice Address - Street 1:5113 N WOLCOTT AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-2612
Practice Address - Country:US
Practice Address - Phone:773-931-1943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-22
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL227.000558225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist