Provider Demographics
NPI:1366678070
Name:ALTERGOTT, KRISTI LYNN (PT, DPT)
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:LYNN
Last Name:ALTERGOTT
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:KRISTI
Other - Middle Name:LYNN
Other - Last Name:CECIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:305 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SPEARFISH
Mailing Address - State:SD
Mailing Address - Zip Code:57783-2332
Mailing Address - Country:US
Mailing Address - Phone:605-559-0381
Mailing Address - Fax:
Practice Address - Street 1:305 N MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:SPEARFISH
Practice Address - State:SD
Practice Address - Zip Code:57783-2334
Practice Address - Country:US
Practice Address - Phone:605-559-0381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-09
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1474225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist