Provider Demographics
NPI:1285066688
Name:WERMAGER, KRISTEN KAY (PT, DPT)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:KAY
Last Name:WERMAGER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25145 STAR LN STE 502
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-7056
Mailing Address - Country:US
Mailing Address - Phone:346-387-6739
Mailing Address - Fax:346-387-6891
Practice Address - Street 1:25145 STAR LN STE 502
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7056
Practice Address - Country:US
Practice Address - Phone:346-387-6739
Practice Address - Fax:346-387-6891
Is Sole Proprietor?:No
Enumeration Date:2013-08-07
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK26352251P0200X
TX13313282251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics