Provider Demographics
NPI:1750589073
Name:OSCHMANN, KRISTA GAY (OTR)
Entity type:Individual
Prefix:MS
First Name:KRISTA
Middle Name:GAY
Last Name:OSCHMANN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MS
Other - First Name:KRISTA
Other - Middle Name:GAY
Other - Last Name:COVELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR
Mailing Address - Street 1:1314 REEVES DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-9647
Mailing Address - Country:US
Mailing Address - Phone:970-204-4331
Mailing Address - Fax:
Practice Address - Street 1:1314 REEVES DR
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-9647
Practice Address - Country:US
Practice Address - Phone:970-204-4331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY640225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist