Rae, Kristine Maia
Rae, Kristine Maia is an individual health care provider with primary practice located at 1905 Pine St , Sandpoint ID 83864-8311. 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. Rae, Kristine Maia can be contacted via phone (208) 263-7998.Contact Information
Primary practice address
1905 Pine St
Sandpoint ID 83864-8311
Phone: (208) 263-7998
Fax: (208) 255-2423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT-5344 | Idaho |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00008363 | Washington |
Profile Details
| NPI number | 1194057091 |
|---|---|
| LBN Legal business name | Rae, Kristine Maia |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2010 |
| Last updated | Jul 29th, 2019 - about 6 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 | 1194057091 | NPPES |
| Idaho | Other | PT-5344 | PT LICENSE |
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