Provider Demographics
NPI:1568649598
Name:KAPPEL, KRISTIN NOELLE (MOT, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:KRISTIN
Middle Name:NOELLE
Last Name:KAPPEL
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:MS
Other - First Name:KRISTIN
Other - Middle Name:NOELLE
Other - Last Name:KAPPEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:EASTER SEALS JOLIET REGION
Mailing Address - Street 2:212 BARNEY DR.
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435
Mailing Address - Country:US
Mailing Address - Phone:815-725-2194
Mailing Address - Fax:815-725-7150
Practice Address - Street 1:EASTER SEALS JOLIET REGION
Practice Address - Street 2:212 BARNEY DR.
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435
Practice Address - Country:US
Practice Address - Phone:815-725-2194
Practice Address - Fax:815-725-7150
Is Sole Proprietor?:No
Enumeration Date:2008-01-22
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.008027225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist