Provider Demographics
NPI:1972907756
Name:BINFET, KRYSTEN (AT, ATC)
Entity Type:Individual
Prefix:
First Name:KRYSTEN
Middle Name:
Last Name:BINFET
Suffix:
Gender:F
Credentials:AT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1903 W MICHIGAN AVE
Mailing Address - Street 2:DEPARTMENT OF INTERCOLLEGIATE ATHLETICS
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49008-5406
Mailing Address - Country:US
Mailing Address - Phone:269-276-3319
Mailing Address - Fax:269-387-7168
Practice Address - Street 1:1903 W MICHIGAN AVE
Practice Address - Street 2:DEPARTMENT OF INTERCOLLEGIATE ATHLETICS
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49008-5406
Practice Address - Country:US
Practice Address - Phone:269-276-3319
Practice Address - Fax:269-387-7168
Is Sole Proprietor?:No
Enumeration Date:2014-10-22
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI26010010372255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer