Kristy Dukarski Zagata
Individual provider Active NPI Occupational Therapist · Kawkawlin, MI
NPI 1114225133 · NPPES record last updated Mar 1, 2011
Key facts
- NPI
- 1114225133
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 5201004083 (MI)
- Practice address
- 2694 Fraser Rd
Kawkawlin, MI 48631-9115 - Phone
- (989) 450-5057
- NPI assigned
- Mar 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201004083 | MI | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201004083 | MI | Yes |
Addresses
Primary practice location
2694 Fraser Rd
Kawkawlin, MI 48631-9115
Mailing address
2694 Fraser Rd
Kawkawlin, MI 48631-9115
Phone (989) 450-5057
Other names
- Kristy Dukarski Zagata
Other providers in Kawkawlin, MI
All providers in Kawkawlin, MI · Occupational Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.