Provider Demographics
NPI:1356533327
Name:WOOD, KRISTIE ANN (MSPT)
Entity type:Individual
Prefix:MRS
First Name:KRISTIE
Middle Name:ANN
Last Name:WOOD
Suffix:
Gender:F
Credentials:MSPT
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Mailing Address - Street 1:300 COVERED VILLAGE MALL
Mailing Address - Street 2:KIMBERLEE O'DONALD PHYSICAL THERAPY
Mailing Address - City:BELDING
Mailing Address - State:MI
Mailing Address - Zip Code:48809-9262
Mailing Address - Country:US
Mailing Address - Phone:616-794-7070
Mailing Address - Fax:616-794-7707
Practice Address - Street 1:300 COVERED VILLAGE MALL
Practice Address - Street 2:KIMBERLEE O'DONALD PHYSICAL THERAPY
Practice Address - City:BELDING
Practice Address - State:MI
Practice Address - Zip Code:48809-9262
Practice Address - Country:US
Practice Address - Phone:616-794-7070
Practice Address - Fax:616-794-7707
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5501009611225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist