Provider Demographics
NPI:1780860734
Name:ALDREDGE, KRISTEN MARGARET (PT)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:MARGARET
Last Name:ALDREDGE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 KAREN PASS
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-3756
Mailing Address - Country:US
Mailing Address - Phone:972-422-0685
Mailing Address - Fax:
Practice Address - Street 1:604 KAREN PASS
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094-3756
Practice Address - Country:US
Practice Address - Phone:972-422-0685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-20
Last Update Date:2008-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1160460225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist