Provider Demographics
NPI:1518415090
Name:KRISTEN HATCH, PT
Entity Type:Organization
Organization Name:KRISTEN HATCH, PT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:ALANA
Authorized Official - Last Name:HATCH
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:518-728-4054
Mailing Address - Street 1:PO BOX 102
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:NY
Mailing Address - Zip Code:12936
Mailing Address - Country:US
Mailing Address - Phone:518-728-4054
Mailing Address - Fax:
Practice Address - Street 1:2310 MAIN STREET
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:NY
Practice Address - Zip Code:12936
Practice Address - Country:US
Practice Address - Phone:518-728-4054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-14
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty