Provider Demographics
NPI:1700650363
Name:HARTLEY, KIERSTEN (OTR/L, OTD)
Entity Type:Individual
Prefix:
First Name:KIERSTEN
Middle Name:
Last Name:HARTLEY
Suffix:
Gender:F
Credentials:OTR/L, OTD
Other - Prefix:
Other - First Name:KIERSTEN
Other - Middle Name:
Other - Last Name:SCHEELE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2760 AIRPORT DR STE 160
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-2284
Mailing Address - Country:US
Mailing Address - Phone:614-866-8158
Mailing Address - Fax:
Practice Address - Street 1:2760 AIRPORT DR STE 160
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-2284
Practice Address - Country:US
Practice Address - Phone:614-866-8158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT009947225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist