Provider Demographics
NPI:1639875537
Name:TURNER, KRISTEN D (LMT)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:D
Last Name:TURNER
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 1:121 HEMLOCK WAY
Mailing Address - Street 2:
Mailing Address - City:ELLWOOD CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16117-5529
Mailing Address - Country:US
Mailing Address - Phone:330-464-8552
Mailing Address - Fax:
Practice Address - Street 1:626 W NEW CASTLE ST
Practice Address - Street 2:
Practice Address - City:ZELIENOPLE
Practice Address - State:PA
Practice Address - Zip Code:16063-2005
Practice Address - Country:US
Practice Address - Phone:724-473-4883
Practice Address - Fax:724-473-0804
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG014991225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist