Provider Demographics
NPI:1588973069
Name:BOYD, KRISTYN (PT)
Entity type:Individual
Prefix:
First Name:KRISTYN
Middle Name:
Last Name:BOYD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1114 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37160-2379
Mailing Address - Country:US
Mailing Address - Phone:931-684-0027
Mailing Address - Fax:931-684-0112
Practice Address - Street 1:3310 ASPEN GROVE DR
Practice Address - Street 2:STE 202
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-2836
Practice Address - Country:US
Practice Address - Phone:615-224-9810
Practice Address - Fax:615-224-9844
Is Sole Proprietor?:No
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT0000008724225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist