Provider Demographics
NPI:1184837692
Name:SAILER, KRISTIE MARIE (OTRL)
Entity Type:Individual
Prefix:MRS
First Name:KRISTIE
Middle Name:MARIE
Last Name:SAILER
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1259 N CONNER AVE
Mailing Address - Street 2:
Mailing Address - City:HIGLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85236-3226
Mailing Address - Country:US
Mailing Address - Phone:602-471-9592
Mailing Address - Fax:480-985-7910
Practice Address - Street 1:961 E DUBLIN CT
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-4866
Practice Address - Country:US
Practice Address - Phone:480-821-7779
Practice Address - Fax:480-821-6820
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1427225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist