Provider Demographics
NPI:1851949671
Name:CORRADIN, KYRA
Entity Type:Individual
Prefix:
First Name:KYRA
Middle Name:
Last Name:CORRADIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1112 16TH ST NW STE 200
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-4818
Mailing Address - Country:US
Mailing Address - Phone:202-223-1737
Mailing Address - Fax:202-223-1738
Practice Address - Street 1:1112 16TH ST NW STE 200
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-4818
Practice Address - Country:US
Practice Address - Phone:202-223-1737
Practice Address - Fax:202-223-1738
Is Sole Proprietor?:No
Enumeration Date:2019-08-27
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist