Mortensen, Kristen Rayburn
Mortensen, Kristen Rayburn is an individual health care provider with primary practice located at 1310 Garlington Rd Ste A Suite A, Greenville SC 29615-5485. 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. Mortensen, Kristen Rayburn can be contacted via phone (864) 288-2998.Contact Information
Primary practice address
1310 Garlington Rd Ste A Suite A
Greenville SC 29615-5485
Phone: (864) 288-2998
Fax: (864) 288-3522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4405 | South Carolina |
Profile Details
| NPI number | 1780644310 |
|---|---|
| LBN Legal business name | Mortensen, Kristen Rayburn |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Apr 22nd, 2011 - about 14 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 | 1780644310 | NPPES |
| South Carolina | MEDICAID | TH1496 |
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