Provider Demographics
NPI:1578951232
Name:WRIGHT, KRISTEN HATFIELD (MS, ATC, PES)
Entity Type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:HATFIELD
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MS, ATC, PES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17099 COUNTY SEAT HWY
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19947-4865
Mailing Address - Country:US
Mailing Address - Phone:302-856-0961
Mailing Address - Fax:
Practice Address - Street 1:17099 COUNTY SEAT HWY
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947-4865
Practice Address - Country:US
Practice Address - Phone:302-856-0961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-05
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ3-00003142255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer