MEDICARE: KRISTIN ANN STENSON 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	171W00000X	Contractor	R4341	KY
2	225X00000X	Occupational Therapist	135018	KY
3	225XP0200X	Pediatric Occupational Therapist	135018	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952646192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN ANN STENSON OTR/L

Provider Business Mailing Address
First Line	:	233 TAHOE WAY
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-7957
Country	:	US
Telephone Number	:	859-230-7952
Fax Number	:

Provider Business Practice Location Address
First Line	:	4750 HARTLAND PKWY STE 268
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40515-1558
Country	:	US
Telephone Number	:	859-230-7952
Fax Number	:

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

Provider Enumeration Date	:	11/28/2012
Last Update Date	:	12/10/2024

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