Provider Demographics
NPI:1205264447
Name:ROSIPAL, KRISTI (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:KRISTI
Middle Name:
Last Name:ROSIPAL
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 MAPLESHADE LN STE 110
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-0032
Mailing Address - Country:US
Mailing Address - Phone:972-735-0920
Mailing Address - Fax:972-735-0919
Practice Address - Street 1:4200 MAPLESHADE LN STE 110
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-0032
Practice Address - Country:US
Practice Address - Phone:972-735-0920
Practice Address - Fax:972-735-0919
Is Sole Proprietor?:No
Enumeration Date:2013-10-25
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10910490225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist