Provider Demographics
NPI:1013033570
Name:VALDES, KRISTIN A (CHT)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:A
Last Name:VALDES
Suffix:
Gender:F
Credentials:CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8675 W ROME BLVD STE 140
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-1291
Mailing Address - Country:US
Mailing Address - Phone:725-206-7929
Mailing Address - Fax:725-206-7930
Practice Address - Street 1:8675 W ROME BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-1289
Practice Address - Country:US
Practice Address - Phone:725-206-7929
Practice Address - Fax:941-484-5510
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT863225XH1200X
NVOT-2610225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ4012BMedicare ID - Type Unspecified