Provider Demographics
NPI:1255446472
Name:CHAPMAN, KRISTI MICHELLE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:MICHELLE
Last Name:CHAPMAN
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 1:13715 MATTHIAS TRL
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-8017
Mailing Address - Country:US
Mailing Address - Phone:832-654-3625
Mailing Address - Fax:
Practice Address - Street 1:5601 S BRAESWOOD BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-3907
Practice Address - Country:US
Practice Address - Phone:832-203-1094
Practice Address - Fax:832-203-1097
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109052225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX109052OtherLICENSE #