Provider Demographics
NPI:1770885899
Name:KAMPS, KRISTIE J (RPT)
Entity type:Individual
Prefix:MS
First Name:KRISTIE
Middle Name:J
Last Name:KAMPS
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6400 MELALEUCA LN
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-3807
Mailing Address - Country:US
Mailing Address - Phone:561-963-4577
Mailing Address - Fax:561-963-4576
Practice Address - Street 1:6400 MELALEUCA LN
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-3807
Practice Address - Country:US
Practice Address - Phone:561-963-4577
Practice Address - Fax:561-963-4576
Is Sole Proprietor?:No
Enumeration Date:2010-11-22
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT10513225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist