Provider Demographics
NPI:1487850186
Name:HEINRICHS, KRISTINN IRENE (PHD, PT, SCS, ATC)
Entity Type:Individual
Prefix:DR
First Name:KRISTINN
Middle Name:IRENE
Last Name:HEINRICHS
Suffix:
Gender:F
Credentials:PHD, PT, SCS, ATC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:250 NORTH LITCHFIELD ROAD
Mailing Address - Street 2:#155
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-1367
Mailing Address - Country:US
Mailing Address - Phone:623-882-9787
Mailing Address - Fax:623-882-9791
Practice Address - Street 1:250 N LITCHFIELD RD
Practice Address - Street 2:#155
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-1333
Practice Address - Country:US
Practice Address - Phone:623-882-9787
Practice Address - Fax:623-882-9791
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ72542251E1200X, 2251H1300X, 2251N0400X, 2251S0007X, 2251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251E1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistErgonomics
No2251H1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHuman Factors
No2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic