Provider Demographics
NPI:1528002284
Name:MILLIRON, KRISTINE Y (OTR/L, CHT)
Entity Type:Individual
Prefix:
First Name:KRISTINE
Middle Name:Y
Last Name:MILLIRON
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 JOHNSTON ST SUITE 300
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-2515
Mailing Address - Country:US
Mailing Address - Phone:256-340-9708
Mailing Address - Fax:256-340-9624
Practice Address - Street 1:2801 JOHN HAWKINS PKWY STE 141K
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-4021
Practice Address - Country:US
Practice Address - Phone:205-682-7650
Practice Address - Fax:205-682-9040
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0710225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51509133OtherBCBS
AL51517655OtherBCBS
AL529917620Medicaid
AL51502523OtherBCBS
AL1003819608OtherGROUP NPI
AL1003819608OtherGROUP NPI
P81512Medicare UPIN