Provider Demographics
NPI:1184447294
Name:KESNER, CHRISTY LYNN (OTR/L)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:LYNN
Last Name:KESNER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 SAWMILL DR
Mailing Address - Street 2:
Mailing Address - City:GORE
Mailing Address - State:VA
Mailing Address - Zip Code:22637-1768
Mailing Address - Country:US
Mailing Address - Phone:540-327-2978
Mailing Address - Fax:
Practice Address - Street 1:510 BUTLER AVE
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25405-9990
Practice Address - Country:US
Practice Address - Phone:304-263-0811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-06
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1641225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist