Provider Demographics
NPI:1740650159
Name:SWARTZ, KRISTI MARIE (MOTR/L)
Entity type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:MARIE
Last Name:SWARTZ
Suffix:
Gender:F
Credentials:MOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2061 SKYWAY VLY
Mailing Address - Street 2:
Mailing Address - City:HERMON
Mailing Address - State:ME
Mailing Address - Zip Code:04401-0832
Mailing Address - Country:US
Mailing Address - Phone:207-848-7768
Mailing Address - Fax:
Practice Address - Street 1:2061 SKYWAY VLY
Practice Address - Street 2:
Practice Address - City:HERMON
Practice Address - State:ME
Practice Address - Zip Code:04401-0832
Practice Address - Country:US
Practice Address - Phone:207-848-7768
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-28
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT1196225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist