Provider Demographics
NPI:1821005208
Name:ALBRECHT, KIRSTEN ADAIR (MS PT)
Entity Type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:ADAIR
Last Name:ALBRECHT
Suffix:
Gender:F
Credentials:MS PT
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Mailing Address - Street 1:575 HIGHLAND AVENUE
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410
Mailing Address - Country:US
Mailing Address - Phone:203-272-3155
Mailing Address - Fax:203-272-3164
Practice Address - Street 1:575 HIGHLAND AVENUE
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410
Practice Address - Country:US
Practice Address - Phone:203-272-3155
Practice Address - Fax:203-272-3164
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT0040892251S0007X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
Not Answered2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
1128824OtherAETNA
CT080004089CT23OtherBCBS
1942516OtherCHP ID
2V7086OtherHEALTHNET