Provider Demographics
NPI:1851876692
Name:FRENCH, ALEXIS KRISTINE (STUDENT)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:KRISTINE
Last Name:FRENCH
Suffix:
Gender:F
Credentials:STUDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3847 WHITNEY CT
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-6922
Mailing Address - Country:US
Mailing Address - Phone:269-532-8802
Mailing Address - Fax:
Practice Address - Street 1:3847 WHITNEY CT
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-6922
Practice Address - Country:US
Practice Address - Phone:269-532-8802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-27
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer