Provider Demographics
NPI:1225350572
Name:ROBISON, KRISTIN JENEL (OTR/L)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:JENEL
Last Name:ROBISON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 N NEVADA ST
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703-4105
Mailing Address - Country:US
Mailing Address - Phone:775-848-7282
Mailing Address - Fax:775-885-0529
Practice Address - Street 1:220 N NEVADA ST
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-4105
Practice Address - Country:US
Practice Address - Phone:775-848-7282
Practice Address - Fax:775-885-0529
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-26
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0514225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist