Provider Demographics
NPI:1699801860
Name:TURNER, KRYSTIN ANN (MSOTR)
Entity type:Individual
Prefix:MRS
First Name:KRYSTIN
Middle Name:ANN
Last Name:TURNER
Suffix:
Gender:F
Credentials:MSOTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1547 W US HIGHWAY 136
Mailing Address - Street 2:
Mailing Address - City:CRAWFORDSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47933-6110
Mailing Address - Country:US
Mailing Address - Phone:765-414-2754
Mailing Address - Fax:765-807-5177
Practice Address - Street 1:1547 W US HIGHWAY 136
Practice Address - Street 2:
Practice Address - City:CRAWFORDSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47933-6110
Practice Address - Country:US
Practice Address - Phone:765-414-2754
Practice Address - Fax:765-807-5177
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31003409A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist