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NPI Code Detail

MEDICARE: KRISTEN WAKASHIGE

MEDICARE: KRISTEN WAKASHIGE
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 Therapist

General Provider Information

NPI Number : 1356820930
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN WAKASHIGE
Provider Business Mailing Address
First Line : 921 FOREST RIDGE PKWY
Second Line :
City : SCHERTZ
State : TX
Zip : 78154-3049
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1219 EASTWOOD DR
Second Line :
City : SEGUIN
State : TX
Zip : 78155-5133
Country : US
Telephone Number : 830-379-7777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2018
Last Update Date : 08/14/2018

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Directions to “ KRISTEN WAKASHIGE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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