Provider Demographics
NPI:1124325444
Name:NORTH, KRISTIN E (DPT)
Entity type:Individual
Prefix:MISS
First Name:KRISTIN
Middle Name:E
Last Name:NORTH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 NE JOHNSON AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-4138
Mailing Address - Country:US
Mailing Address - Phone:817-447-2323
Mailing Address - Fax:817-447-3311
Practice Address - Street 1:113 NE JOHNSON AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-4138
Practice Address - Country:US
Practice Address - Phone:817-447-2323
Practice Address - Fax:817-447-3311
Is Sole Proprietor?:No
Enumeration Date:2011-02-23
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1203388225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist