Ackermann, Krystal Lynne
Ackermann, Krystal Lynne is an individual health care provider with primary practice located at 2535 Ira E Woods Ave , Grapevine TX 76051-3930. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Ackermann, Krystal Lynne can be contacted via phone (817) 481-2121.Contact Information
Primary practice address
2535 Ira E Woods Ave
Grapevine TX 76051-3930
Phone: (817) 481-2121
Fax: (817) 488-4493
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1217600 | Texas |
Profile Details
| NPI number | 1194074740 |
|---|---|
| LBN Legal business name | Ackermann, Krystal Lynne |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2012 |
| Last updated | Aug 20th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194074740 | NPPES |
| Texas | Other | 1217600 | STATE LICENSE |
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