Healthcare Provider Details

I. General information

NPI: 1730042987
Provider Name (Legal Business Name): KRYSTAL AKAGI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19284 COTTONWOOD DR STE 203
PARKER CO
80138-3881
US

IV. Provider business mailing address

95-1035 PALAMOA ST
MILILANI HI
96789-5589
US

V. Phone/Fax

Practice location:
  • Phone: 720-788-7365
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT.0009121
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: