Provider Demographics
NPI:1275061285
Name:STROHMAIER, KRISTINA KAY (OTR/L)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:KAY
Last Name:STROHMAIER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:KRISTINA
Other - Middle Name:KAY
Other - Last Name:EPLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:24552 ARROW HIGHLINE RD
Mailing Address - Street 2:
Mailing Address - City:JULIAETTA
Mailing Address - State:ID
Mailing Address - Zip Code:83535-6077
Mailing Address - Country:US
Mailing Address - Phone:208-790-0304
Mailing Address - Fax:
Practice Address - Street 1:24552 ARROW HIGHLINE RD
Practice Address - Street 2:
Practice Address - City:JULIAETTA
Practice Address - State:ID
Practice Address - Zip Code:83535-6077
Practice Address - Country:US
Practice Address - Phone:208-790-0304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT60402649225X00000X
IDOT-1236225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty