Provider Demographics
NPI:1134469984
Name:ROCKER, KRISTINA E
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:E
Last Name:ROCKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34007 19TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98023-8003
Mailing Address - Country:US
Mailing Address - Phone:602-909-6162
Mailing Address - Fax:
Practice Address - Street 1:9431 E CORALBELL AVE LOT 70
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85208-5812
Practice Address - Country:US
Practice Address - Phone:602-695-9592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-14
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant