Wellformed AI

NPI 1104098052 · live from the CMS NPI Registry

Kirsten Thomas Atwood, Au.D, ,CCC-A

Audiologist in Fort Pierce, FL. National Provider Identifier 1104098052, active.

NPI record

NPI1104098052 Type 1 · individual
StatusActive
Primary specialtyAudiologist 231H00000X
Practice location4632 S 25th St, Fort Pierce, FL 34981
Practice phone772-464-9595
EnumeratedApril 1, 2008
Last updatedJuly 9, 2010
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Audiologist primary231H00000XAY1177 (FL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.