Provider Demographics
NPI:1184062150
Name:VON KOSS, KURSTEN K (OTR)
Entity type:Individual
Prefix:MS
First Name:KURSTEN
Middle Name:K
Last Name:VON KOSS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MS
Other - First Name:KURSTEN
Other - Middle Name:K
Other - Last Name:VON KOSS-MARKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:7225 DEFRAME CT
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-2860
Mailing Address - Country:US
Mailing Address - Phone:720-308-9970
Mailing Address - Fax:
Practice Address - Street 1:7225 DEFRAME CT
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-2860
Practice Address - Country:US
Practice Address - Phone:720-308-9970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-12
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0001863225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist