MEDICARE: MRS. KRISTINE KAY VASQUEZ 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
1	174400000X	Specialist	0411	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AZ0293560	OTHER	AZ	BCBS
2	19033560	OTHER	AZ	WORKER'S COMP
3	771479	OTHER	AZ	AHCCCS

General Provider Information

NPI Number	:	1801852306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KRISTINE KAY VASQUEZ OTR/L

Provider Business Mailing Address
First Line	:	222 S GOLDEN MEADOW TRL
Second Line	:
City	:	WILLIAMS
State	:	AZ
Zip	:	86046-9625
Country	:	US
Telephone Number	:	928-635-2042
Fax Number	:

Provider Business Practice Location Address
First Line	:	122 S 3RD ST
Second Line	:
City	:	WILLIAMS
State	:	AZ
Zip	:	86046-2404
Country	:	US
Telephone Number	:	928-635-1477
Fax Number	:	928-635-0143

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1699442152 — DIANNA LYNN EVANS
Practice Location Address:

130 WILLIAMS LN
MORGANTOWN, WV
26508-2404

Practice Phone: 304-612-1372
Practice Fax:

1700547916 — COMSEE HOMECARE LLC
Practice Location Address:

114 WILLIAMS ST STE 110
LANCASTER, SC
29720-2404

Practice Phone: 803-394-2035
Practice Fax:

1023964848 — UPRISING SUPPORTIVE SERVICES
Practice Location Address:

114 WILLIAMS ST STE 109
LANCASTER, SC
29720-2404

Practice Phone: 803-639-7700
Practice Fax: 803-753-0088

1639026313 — EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC.
Practice Location Address:

300 S 6TH ST
WILLIAMS, AZ
86046-0110

Practice Phone: 520-670-3909
Practice Fax: 520-309-2560

1053385153 — THOMAS M MYERS MD
Practice Location Address:

301 S 7TH ST
WILLIAMS, AZ
86046-2324

Practice Phone: 928-635-4441
Practice Fax: 928-635-4403

1144256884 — MELISSA H MASLAR MPT
Practice Location Address:

301 S 7TH ST
WILLIAMS, AZ
86046-2324

Practice Phone: 928-635-4441
Practice Fax:

Directions to “ MRS. KRISTINE KAY VASQUEZ OTR/L” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.