Provider Demographics
NPI:1912235656
Name:LEGTERS, KRISTINE SUE (, PT, DSC, NCS)
Entity Type:Individual
Prefix:MISS
First Name:KRISTINE
Middle Name:SUE
Last Name:LEGTERS
Suffix:
Gender:F
Credentials:, PT, DSC, NCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 W 36TH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16508-2903
Mailing Address - Country:US
Mailing Address - Phone:814-453-5202
Mailing Address - Fax:814-871-5548
Practice Address - Street 1:129 W 36TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16508-2903
Practice Address - Country:US
Practice Address - Phone:814-453-5202
Practice Address - Fax:814-871-5548
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-18
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT00194E2251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology