Kristy Anderson
Individual provider Active NPI Occupational Therapist · Flagstaff, AZ
NPI 1679100705 · NPPES record last updated Mar 26, 2020
Key facts
- NPI
- 1679100705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OTH-05438 (AZ)
- Practice address
- 1200 N Beaver St
Flagstaff, AZ 86001-3118 - Phone
- (928) 779-3366
- NPI assigned
- Mar 26, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| OTH-05438 | AZ | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTH-05438 | AZ | Yes |
Addresses
Primary practice location
1200 N Beaver St
Flagstaff, AZ 86001-3118
Mailing address
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 779-3366
Other providers in Flagstaff, AZ
- Andc, Inc
- Bianca Maria Anderson
- Emily Anderson
- Erin Elizabeth Anderson
- Kristin Nicole Anderson
- McKenzye Jane Anderson
- Nikkol Kramer Anderson
- Nina Jean Anderson
- Spencer Reid Anderson
- Sheila Diane Andrea
All providers in Flagstaff, AZ · Occupational Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2020. 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.