MRS. KIRSTEN ETKA HALLSTROM (NPI# 1144567520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144567520 |
Entity Type | Individual |
Full Name | MRS. KIRSTEN ETKA HALLSTROM |
Credential | PT |
Practice Address |
1459 Coventry Square Dr Ann Arbor MI 48103-6314 |
Practice Telephone | 7346469172 |
Enumeration Date | 2013-01-06 |
Last Update Date | 2013-01-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
5501007498 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285150979 | Kirsten Rose Hallstrom | Psychologist | 306 23rd Ave S Ste 200, Seattle, WA 98144-2371 | 2017-08-15 |
Street Address |
1459 COVENTRY SQUARE DR |
City | ANN ARBOR |
State | MI |
Zip Code | 48103-6314 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043839343 | Melissa Sylvia Danan Rilko | Social Worker | 1775 Timber Trail, Ann Arbor, MI 48103 | 2020-04-16 |
1427602929 | Ashwini Gulwadi, Pllc | Psychiatry & Neurology | 2100 S Main Street, Suite A, Unit 4, Ann Arbor, MI 48103 | 2019-08-01 |
1225593155 | Brent Aaron Reeve | Chiropractor | 203 S. Zeeb Rd., Suite 106, Ann Arbor, MI 48103 | 2019-02-05 |
1548746779 | Loren Camano Shkolnik | Registered Nurse | 3200 W Liberty Rd Ste C5, Ann Arbor, MI 48103 | 2018-07-11 |
1982193256 | Jacob B Nienhuis | Psychologist | 4488 Jackson Rd Ste 7b, Ann Arbor, MI 48103 | 2018-05-02 |
1053818633 | Regents of The University of Michigan | Eyewear Supplier (Equipment, not the service) | 380 Parkland Plz Ste 210, Ann Arbor, MI 48103 | 2018-04-10 |
1376052647 | Shivika Verma | Dentist | 3071 Signature Blvd, Apartment #f, Ann Arbor, MI 48103 | 2017-09-29 |
1881118206 | Harrison Udensi Igwe | Clinic/Center | 522 South Maple Stree, Ann Arbor, MI 48103 | 2017-07-27 |
1841727641 | Kathleen Murphy | Psychologist | 4141 Woodland Drive, Ann Arbor, MI 48103 | 2017-05-11 |
1972037133 | Jonathan Broek | Dietitian, Registered | 2920 Lakeview Dr, Ann Arbor, MI 48103 | 2017-04-14 |
Find all providers in zip 48103 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396247193 | Amy Lynn Casedy | Physical Therapist | 400 E Eisenhower Pkwy Ste A, Ann Arbor, MI 48108-3302 | 2018-03-07 |
1588166987 | Christopher Tapley | Physical Therapist | 1540 E Hospital Dr Spc 4236, Ann Arbor, MI 48109-4236 | 2018-03-02 |
1043714546 | Lori Brinkey | Physical Therapist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2018-03-20 |
1912400045 | Michaela Ngaire White | Physical Therapist | 400 E Eisenhower Pkwy Ste A, Ann Arbor, MI 48108-3302 | 2018-03-15 |
1427551142 | Christopher Lucido | Physical Therapist | 2205 Commonwealth Blvd, Ann Arbor, MI 48105-2970 | 2018-03-09 |
1841793577 | Sara Morgan | Physical Therapist | 400 E Eisenhower Pkwy, Ann Arbor, MI 48108-3302 | 2018-03-08 |
1689176638 | Katherine Tales | Physical Therapist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2018-03-06 |
1407358468 | Amanda Hughes | Physical Therapist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2018-03-06 |
1477055440 | Kendra Vanwasshenova | Physical Therapist | 2205 Commonwealth Blvd, Ann Arbor, MI 48105-2970 | 2018-03-06 |
1144608456 | Aa Therapy Works | Physical Therapist | 3200 W Liberty Rd, Suite F, Ann Arbor, MI 48103-9746 | 2015-05-07 |
Find all providers in ANN ARBOR |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.