Kristine Elizabeth Hettenhausen, OTR/L
Individual provider Active NPI Occupational Therapist · O Fallon, IL
NPI 1750520060 · NPPES record last updated Feb 10, 2009
Key facts
- NPI
- 1750520060
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 056-005370 (IL)
- Practice address
- 509 Haddington LN
O Fallon, IL 62269-4242 - Phone
- (618) 632-3234
- NPI assigned
- Feb 10, 2009
- 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 |
|---|---|---|---|
| 056-005370 | IL | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056-005370 | IL | Yes |
Addresses
Primary practice location
509 Haddington LN
O Fallon, IL 62269-4242
Mailing address
509 Haddington LN
O Fallon, IL 62269-4242
Phone (618) 632-3234
Other providers in O Fallon, IL
- Lori Beth Helmers
- Grace Henderson
- Nell Ann Schmits Hennon
- Jaclyn Marie Herbstreit
- Herd & Healing Counseling Services PLLC
- Daphne Hicks
- Kimbrian Hicks
- Highland Park CVS, L.L.C.
- Alyssa K Hill
- Kaylee Michelle Hill
All providers in O Fallon, IL · Occupational Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2009. 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.