NPI 1013356773

Kristal Lee Blundell, PTA

Practitioner Physical Therapy Assistant Lake Havasu City, AZ

Practice location

Address: 1515 Lake Havasu Ave N STE 100, Lake Havasu City, AZ 86404-1177
Phone: (928) 854-5439
Mailing address: 3490 Overland Dr, Lake Havasu City, AZ 86404-2203

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 10274APTA (AZ)

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Registry record

NPI: 1013356773
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jun 2013
Record last updated: 10 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.