Provider Demographics
NPI:1841517232
Name:GILE, KRISTIN KIRBY (MSR-PT)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:KIRBY
Last Name:GILE
Suffix:
Gender:F
Credentials:MSR-PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3803 SAGE DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-3730
Mailing Address - Country:US
Mailing Address - Phone:615-713-8793
Mailing Address - Fax:
Practice Address - Street 1:3803 SAGE DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-3730
Practice Address - Country:US
Practice Address - Phone:615-713-8793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-26
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT0000008180225100000X
NCP13327225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist