Provider Demographics
NPI:1487645255
Name:BESTWICK, KRISTI N (MPT)
Entity Type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:N
Last Name:BESTWICK
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1615B N MAIN STREET EXT
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-1512
Mailing Address - Country:US
Mailing Address - Phone:724-285-5546
Mailing Address - Fax:724-285-3883
Practice Address - Street 1:1615B N MAIN STREET EXT
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-1512
Practice Address - Country:US
Practice Address - Phone:724-285-5546
Practice Address - Fax:724-285-3883
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADAPT 000746225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
11432761OtherCAQH
7480643OtherAETNA
246674OtherHEALTH AMERICA
P00225319OtherRAILROAD MEDICARE
PA1452791OtherHIGHMARK BCBS
P00225319OtherRAILROAD MEDICARE