Provider Demographics
NPI:1154738862
Name:PURIFOY, KIRSTY (OTR)
Entity type:Individual
Prefix:MRS
First Name:KIRSTY
Middle Name:
Last Name:PURIFOY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8331 NORTHMEADOW CIR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-1605
Mailing Address - Country:US
Mailing Address - Phone:214-282-2125
Mailing Address - Fax:
Practice Address - Street 1:8331 NORTHMEADOW CIR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-1605
Practice Address - Country:US
Practice Address - Phone:214-282-2125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-14
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110176225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist