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

Kristin Dezara Fernandez

Individual provider Physical Therapy Assistant · NPI 1699468181

Kristin Dezara Fernandez is a Physical Therapy Assistant in Flint, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2023
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Practice location Address checks out

1085 S Linden Rd Ste 100
Flint, MI 48532-3416
Phone: (810) 262-2000
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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 5502008055 (MI)

Record details

NPI number1699468181
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 31, 2023
Last updated in NPPESMay 31, 2023
Certification dateMay 31, 2023

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