Provider Demographics
NPI:1851426001
Name:CHAPMAN, KRISTI L (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:L
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:MISS
Other - First Name:KRISTI
Other - Middle Name:L
Other - Last Name:KIRKLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:1811 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:ROCKPORT
Mailing Address - State:TX
Mailing Address - Zip Code:78382-3540
Mailing Address - Country:US
Mailing Address - Phone:361-729-8777
Mailing Address - Fax:361-729-8779
Practice Address - Street 1:1811 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:TX
Practice Address - Zip Code:78382-3540
Practice Address - Country:US
Practice Address - Phone:361-729-8777
Practice Address - Fax:361-729-8779
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1172400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8T7022OtherBLUE CROSS BLUE SHIELD
TX1864514-01Medicaid
TX1864514-01Medicaid