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

KRISTY R STATEN, O.T.

Active Sole Proprietor

KRISTY R STATEN, O.T. is a Contractor healthcare provider located in SANDIA PARK, New Mexico. NPI 1518174317 is currently active in the NPPES registry. Verify at CMS.

Contractor · SANDIA PARK, NM

Registration Details

NPI Number
1518174317
Provider Type
Individual
Gender
Female
NPI Issued
May 17, 2007 (19.247805021712 yrs)
Last Updated
Jul 8, 2007
License
043 (NM)
Sole Proprietor
Yes

Practice Information

Address
37 ERICKSON RD
SANDIA PARK, NM, 870479300
Browse NM providers · Browse ZIP 87047
Phone
5052819605
Primary Specialty
Contractor
171W00000X
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.