Provider Demographics
NPI:1598492688
Name:HINDERMYER, KRISTINA DENISE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:DENISE
Last Name:HINDERMYER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 MAIN ST STE 120
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-1509
Mailing Address - Country:US
Mailing Address - Phone:484-805-0044
Mailing Address - Fax:484-805-0003
Practice Address - Street 1:255 MAIN ST STE 120
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1509
Practice Address - Country:US
Practice Address - Phone:484-805-0044
Practice Address - Fax:484-805-0003
Is Sole Proprietor?:No
Enumeration Date:2022-08-08
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT030617225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist