Provider Demographics
NPI:1720263593
Name:ENGLISH, KRISTY LYNNE (MPT)
Entity Type:Individual
Prefix:
First Name:KRISTY
Middle Name:LYNNE
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:KRISTY
Other - Middle Name:LYNNE
Other - Last Name:HUNT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:4300 GOLDEN CENTER DRIVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:PLACERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95667
Mailing Address - Country:US
Mailing Address - Phone:530-344-2045
Mailing Address - Fax:530-642-0794
Practice Address - Street 1:4300 GOLDEN CENTER DRIVE
Practice Address - Street 2:SUITE B
Practice Address - City:PLACERVILLE
Practice Address - State:CA
Practice Address - Zip Code:95667-6278
Practice Address - Country:US
Practice Address - Phone:530-344-2045
Practice Address - Fax:530-642-0794
Is Sole Proprietor?:No
Enumeration Date:2007-12-29
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33341225100000X
CAPT33341225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist