Provider Demographics
NPI:1558610097
Name:DALBEC, KRISTIN BARRETT (LMT)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:BARRETT
Last Name:DALBEC
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 WINSOR DR
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:RI
Mailing Address - Zip Code:02806-2416
Mailing Address - Country:US
Mailing Address - Phone:401-330-8321
Mailing Address - Fax:
Practice Address - Street 1:35 WINSOR DR
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:RI
Practice Address - Zip Code:02806-2416
Practice Address - Country:US
Practice Address - Phone:401-330-8321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-30
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA173C00000X
174H00000X, 225600000X
RIMT01177225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No173C00000XOther Service ProvidersReflexologist
No174H00000XOther Service ProvidersHealth Educator
No225600000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDance Therapist