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NPI Code Detail

MEDICARE: KRISTEN BANKER M.S., OTR/L

MEDICARE:   KRISTEN  BANKER  M.S., OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT0000005121TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MSOT.0000004OTHERCOOT LICENSE

General Provider Information

NPI Number : 1447636824
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN BANKER M.S., OTR/L
Provider Business Mailing Address
First Line : 1760 IVER ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80910-3271
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5850 MORNING LIGHT TER
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-3781
Country : US
Telephone Number : 888-701-9216
Fax Number : 866-569-1087
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2015
Last Update Date : 08/13/2021

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Directions to “ KRISTEN BANKER M.S., OTR/L” Practice Location

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