Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristen Souder, PTA

Individual provider Physical Therapy Assistant · NPI 1417423740

Kristen Souder, PTA is a Physical Therapy Assistant in Georgetown, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2018
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2003 Veterans Blvd
Georgetown, OH 45121-7408
Phone: (937) 515-0997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 005562 (OH)

Record details

NPI number1417423740
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedOctober 14, 2018
Last updated in NPPESOctober 14, 2018

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