Provider Demographics
NPI:1518590454
Name:WOODRUFF, KRISTYN ATKINS (PT, DPT)
Entity Type:Individual
Prefix:
First Name:KRISTYN
Middle Name:ATKINS
Last Name:WOODRUFF
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:KRISTYN
Other - Middle Name:TORIE
Other - Last Name:ATKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:
Practice Address - Street 1:1781B COMMONS NORTH LOOP
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-3577
Practice Address - Country:US
Practice Address - Phone:205-752-0845
Practice Address - Fax:205-752-0866
Is Sole Proprietor?:No
Enumeration Date:2020-02-19
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH9753225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist