Provider Demographics
NPI:1982891123
Name:WESTWOOD, KRISTIN ELAINE (RPT)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:ELAINE
Last Name:WESTWOOD
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 GREENSWARD LN
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-9022
Mailing Address - Country:US
Mailing Address - Phone:305-933-0626
Mailing Address - Fax:
Practice Address - Street 1:21000 NE 28TH AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1421
Practice Address - Country:US
Practice Address - Phone:305-932-0560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-02
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 23590225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAK762YMedicare PIN