Provider Demographics
NPI:1700042728
Name:TOBIN, KRISTEN MARIE (MS, ATC/L, EMT-B)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:MARIE
Last Name:TOBIN
Suffix:
Gender:F
Credentials:MS, ATC/L, EMT-B
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:62 ALUMNI DR
Mailing Address - Street 2:
Mailing Address - City:CANAAN
Mailing Address - State:NH
Mailing Address - Zip Code:03741-7210
Mailing Address - Country:US
Mailing Address - Phone:860-917-3553
Mailing Address - Fax:603-523-3742
Practice Address - Street 1:62 ALUMNI DR
Practice Address - Street 2:
Practice Address - City:CANAAN
Practice Address - State:NH
Practice Address - Zip Code:03741-7210
Practice Address - Country:US
Practice Address - Phone:860-917-3553
Practice Address - Fax:603-523-3742
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH03772255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer