Provider Demographics
NPI:1477838357
Name:VALENTINE, KRISTEN DALSEG (PT)
Entity type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:DALSEG
Last Name:VALENTINE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:KRISTEN
Other - Middle Name:LYNN
Other - Last Name:DALSEG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:7557 RAMBLER RD STE 700
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-2321
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 S COIT RD STE 125
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-5749
Practice Address - Country:US
Practice Address - Phone:936-329-5598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-11
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1083210225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist