Provider Demographics
NPI:1619935814
Name:JONES, KRISTEA (MSPT)
Entity Type:Individual
Prefix:
First Name:KRISTEA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3212 KUTZTOWN RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:LAURELDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19605-2661
Mailing Address - Country:US
Mailing Address - Phone:610-921-9000
Mailing Address - Fax:610-921-1044
Practice Address - Street 1:3212 KUTZTOWN RD
Practice Address - Street 2:SUITE B
Practice Address - City:LAURELDALE
Practice Address - State:PA
Practice Address - Zip Code:19605-2661
Practice Address - Country:US
Practice Address - Phone:610-921-9000
Practice Address - Fax:610-921-1044
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT011394L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist