Provider Demographics
NPI:1710749924
Name:KRIBS, KELSEY LYNN (PT, DPT)
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:LYNN
Last Name:KRIBS
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 1:1104 W 21ST AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203-1206
Mailing Address - Country:US
Mailing Address - Phone:517-899-8445
Mailing Address - Fax:
Practice Address - Street 1:1104 W 21ST AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-1206
Practice Address - Country:US
Practice Address - Phone:517-899-8445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61517351225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist