Provider Demographics
NPI:1548333909
Name:TOUNZCH, KRISTEN LEIGH (PT)
Entity type:Individual
Prefix:MS
First Name:KRISTEN
Middle Name:LEIGH
Last Name:TOUNZCH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2100 E BENGAL BLVD
Mailing Address - Street 2:#H205
Mailing Address - City:COTTONWOOD HEIGHTS
Mailing Address - State:UT
Mailing Address - Zip Code:84121
Mailing Address - Country:US
Mailing Address - Phone:214-585-8457
Mailing Address - Fax:
Practice Address - Street 1:WOODLAND PARK REHABILITATION CENTER
Practice Address - Street 2:3855 S 700 E
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84106
Practice Address - Country:US
Practice Address - Phone:801-270-2524
Practice Address - Fax:801-281-9743
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT62745242401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist