Provider Demographics
NPI:1952660854
Name:BEST, KRIS (LMT)
Entity Type:Individual
Prefix:MR
First Name:KRIS
Middle Name:
Last Name:BEST
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 MONSON RD
Mailing Address - Street 2:
Mailing Address - City:STAFFORD SPRINGS
Mailing Address - State:CT
Mailing Address - Zip Code:06076-3221
Mailing Address - Country:US
Mailing Address - Phone:860-214-6765
Mailing Address - Fax:
Practice Address - Street 1:8 MIDDLE RIVER DRIVE
Practice Address - Street 2:BODY BY DESIGN FITNESS CENTER
Practice Address - City:STAFFORD SPRINGS
Practice Address - State:CT
Practice Address - Zip Code:06076
Practice Address - Country:US
Practice Address - Phone:860-214-6765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT006785172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist