Provider Demographics
NPI:1699974386
Name:ORR, KRISTA GUINN (OTR/L)
Entity type:Individual
Prefix:
First Name:KRISTA
Middle Name:GUINN
Last Name:ORR
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 JOHN M REED NURSINGHOME RD
Mailing Address - Street 2:
Mailing Address - City:LIMESTONE
Mailing Address - State:TN
Mailing Address - Zip Code:37681
Mailing Address - Country:US
Mailing Address - Phone:423-257-2141
Mailing Address - Fax:
Practice Address - Street 1:124 JOHN M.REED NURSINGHOME RD.
Practice Address - Street 2:
Practice Address - City:LIMESTONE
Practice Address - State:TN
Practice Address - Zip Code:37681
Practice Address - Country:US
Practice Address - Phone:423-257-2141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2921225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist