Provider Demographics
NPI:1699928473
Name:SOENS, KRISTEN MARY (DPT)
Entity type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:MARY
Last Name:SOENS
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 1:12691 CONWAY RD
Mailing Address - Street 2:
Mailing Address - City:CREVE COEUR
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8633
Mailing Address - Country:US
Mailing Address - Phone:314-434-0400
Mailing Address - Fax:314-434-0402
Practice Address - Street 1:12691 CONWAY RD
Practice Address - Street 2:
Practice Address - City:CREVE COEUR
Practice Address - State:MO
Practice Address - Zip Code:63141-8633
Practice Address - Country:US
Practice Address - Phone:314-434-0400
Practice Address - Fax:314-434-0402
Is Sole Proprietor?:No
Enumeration Date:2008-10-24
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005013906225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist