Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. AMY EASTERLY NISTICO, M.O.T.

Active

MRS. AMY EASTERLY NISTICO, M.O.T. is a Occupational Therapist healthcare provider located in CORVALLIS, Oregon. NPI 1104038322 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · CORVALLIS, OR

Registration Details

NPI Number: 1104038322
Provider Type: Individual
Gender: Female
NPI Issued: May 3, 2007 (19.243642846835 yrs)
Last Updated: Nov 11, 2020
License: 105826 (OR)

Practice Information

Address: 815 NW 9TH ST

SUITE180

CORVALLIS, OR, 973306173
Browse OR providers · Browse ZIP 97330
Phone: 5417685157
Primary Specialty: Occupational Therapist
225X00000X

Other Occupational Therapist Providers in CORVALLIS, OR

Name	Credential	NPI
PAMELA HOOD SZIVEK	OTR/L	1780651018
DAWN ALEXANDRA FOSS	MSOT, OTR/L	1427097609
MRS. SUSAN GORTHEY BOTTOMLEY	OTR	1003902941
PEGGY STEIN	OTD OTR/L CHT	1225126568
MRS. LESLIE Y DOBKINS	OCCUPATIONAL THERAPI	1669549036
MS. CYNTHIA RENEE DAVIS	OTR	1568508216

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.