Provider Demographics
NPI:1528360781
Name:KURPIUS, KRISTYN LYNN (MOTR/L)
Entity Type:Individual
Prefix:MISS
First Name:KRISTYN
Middle Name:LYNN
Last Name:KURPIUS
Suffix:
Gender:F
Credentials:MOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:561 COLSTON PL APT 304
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-6633
Mailing Address - Country:US
Mailing Address - Phone:218-230-3735
Mailing Address - Fax:
Practice Address - Street 1:561 COLSTON PL APT 304
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-6633
Practice Address - Country:US
Practice Address - Phone:218-230-3735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-21
Last Update Date:2010-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119005193225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist