Provider Demographics
NPI:1346975513
Name:SITLER, EMILY KRISTEN (OTD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:KRISTEN
Last Name:SITLER
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20787 CANTERBURY CT
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-2240
Mailing Address - Country:US
Mailing Address - Phone:650-714-8810
Mailing Address - Fax:971-242-4088
Practice Address - Street 1:64745 MELINDA CT
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-8828
Practice Address - Country:US
Practice Address - Phone:541-241-6837
Practice Address - Fax:971-242-4088
Is Sole Proprietor?:No
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR443508225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist