Provider Demographics
NPI:1942581483
Name:HOWARD, KRISTI PATRICIA (DPT)
Entity Type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:PATRICIA
Last Name:HOWARD
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:KRISTI
Other - Middle Name:PATRICIA
Other - Last Name:FLUEGGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5014 S LAKE DR
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:MI
Mailing Address - Zip Code:48118-9481
Mailing Address - Country:US
Mailing Address - Phone:989-798-0241
Mailing Address - Fax:
Practice Address - Street 1:5028 ANN ARBOR RD.
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49201-9201
Practice Address - Country:US
Practice Address - Phone:517-879-1505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-29
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501015691225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist