Provider Demographics
NPI:1437345618
Name:BARRETT, KRISTI ATKISON (MS, PT)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:ATKISON
Last Name:BARRETT
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 CLAY ST
Mailing Address - Street 2:
Mailing Address - City:NOCONA
Mailing Address - State:TX
Mailing Address - Zip Code:76255-1604
Mailing Address - Country:US
Mailing Address - Phone:940-825-7246
Mailing Address - Fax:
Practice Address - Street 1:100 PARK RD
Practice Address - Street 2:
Practice Address - City:NOCONA
Practice Address - State:TX
Practice Address - Zip Code:76255-3616
Practice Address - Country:US
Practice Address - Phone:940-825-7246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-20
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1075281225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist