Provider Demographics
NPI:1649693334
Name:ISEMINGER, KARRIANNA L (OTD, OTR/L, CHT)
Entity type:Individual
Prefix:
First Name:KARRIANNA
Middle Name:L
Last Name:ISEMINGER
Suffix:
Gender:F
Credentials:OTD, OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2424 32ND AVE S
Mailing Address - Street 2:STE 103
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-6509
Mailing Address - Country:US
Mailing Address - Phone:907-563-8318
Mailing Address - Fax:907-563-3472
Practice Address - Street 1:4015 LAKE OTIS PARKWAY
Practice Address - Street 2:SUITE 200
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508
Practice Address - Country:US
Practice Address - Phone:907-563-8318
Practice Address - Fax:907-563-3472
Is Sole Proprietor?:No
Enumeration Date:2014-01-30
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1729225XH1200X
AK2720225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand