Provider Demographics
NPI:1902816762
Name:ROSLER, KRISTIN K (MSPT)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:K
Last Name:ROSLER
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:R
Other - Last Name:KAPLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5485 MOORETOWN RD STE E
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-2130
Mailing Address - Country:US
Mailing Address - Phone:757-969-5200
Mailing Address - Fax:757-969-5201
Practice Address - Street 1:5485 MOORETOWN RD STE E
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-2130
Practice Address - Country:US
Practice Address - Phone:757-969-5200
Practice Address - Fax:757-969-5201
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305203875225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist