Provider Demographics
NPI:1720452113
Name:LANGBERT, KRISTEN LYNNE (MS, PT)
Entity Type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:LYNNE
Last Name:LANGBERT
Suffix:
Gender:F
Credentials:MS, PT
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Mailing Address - Street 1:PO BOX 575
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33468-0575
Mailing Address - Country:US
Mailing Address - Phone:561-745-0028
Mailing Address - Fax:561-745-0833
Practice Address - Street 1:210 JUPITER LAKES BLVD
Practice Address - Street 2:STE 4201
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7190
Practice Address - Country:US
Practice Address - Phone:561-745-0028
Practice Address - Fax:561-745-0833
Is Sole Proprietor?:No
Enumeration Date:2015-11-23
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPT30859225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist