Provider Demographics
NPI:1629788898
Name:BABLE, KRYSTAL MICHELLE (DPT)
Entity Type:Individual
Prefix:DR
First Name:KRYSTAL
Middle Name:MICHELLE
Last Name:BABLE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KRYSTAL
Other - Middle Name:MICHELLE
Other - Last Name:BESSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:429 DEIDRICK RD
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-1632
Mailing Address - Country:US
Mailing Address - Phone:330-573-8155
Mailing Address - Fax:
Practice Address - Street 1:4125 MEDINA RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44333-2483
Practice Address - Country:US
Practice Address - Phone:330-665-8200
Practice Address - Fax:330-665-8197
Is Sole Proprietor?:No
Enumeration Date:2022-11-29
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT0128392081S0010X, 2251S0007X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports