Provider Demographics
NPI:1821113929
Name:BEHELER, KRISTA THOMAS (OTR/L, CLT)
Entity Type:Individual
Prefix:MRS
First Name:KRISTA
Middle Name:THOMAS
Last Name:BEHELER
Suffix:
Gender:F
Credentials:OTR/L, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6478 CROWELL GAP RD
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24014-7110
Mailing Address - Country:US
Mailing Address - Phone:540-510-5949
Mailing Address - Fax:
Practice Address - Street 1:4435 PHEASANT RIDGE RD
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24014-5285
Practice Address - Country:US
Practice Address - Phone:540-900-2100
Practice Address - Fax:540-278-1992
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119002896225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist