Kristen Kelli Waldron
Physical Therapist Physical Therapist - Sports
1991 E Ajo Way Ste 149
Tucson
, Arizona 85713-6269
Kristen Kelli Waldron
Physical Therapist Physical Therapist - Sports
1991 E Ajo Way Ste 149
Tucson
, Arizona 85713-6269
(520) 325-4002
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About
Features
Specialties
- Physical Therapist
- Physical Therapist - Sports
Languages spoken
- English
Location
First Address
- Kristen Kelli Waldron
- 1991 E Ajo Way Ste 149
- Tucson, AZ
- Zip : 85713-6269
- Phone : (520) 325-4002
Second Address
- Kristen Kelli Waldron
- 1991 E Ajo Way Ste 149
- Tucson, AZ
- Zip : 85713-6269
- Phone : (520) 325-4002
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Is Kristen Kelli Waldron a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 12717 | WI |
| Y | 2251S0007X | Physical Therapist - Sports | 11618 | AZ |
National Provider Identifier
| NPI | 1306258181 |
|---|---|
| Provider Name | Kristen Kelli Waldron |
| First Address | Tucson, AZ 85713-6269 |
| Second Address | Tucson, AZ 85713-6269 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/05/2014 |
| Last Update Date | 11/08/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.