Provider Demographics
NPI:1881438315
Name:OAKLEY, KRYSTAL FAYE (MS, OTD, OTR)
Entity type:Individual
Prefix:
First Name:KRYSTAL
Middle Name:FAYE
Last Name:OAKLEY
Suffix:
Gender:
Credentials:MS, OTD, OTR
Other - Prefix:
Other - First Name:KRYSTAL
Other - Middle Name:FAYE
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTD, OTR
Mailing Address - Street 1:14532 ALLISONVILLE RD
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-5119
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14532 ALLISONVILLE RD
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-5119
Practice Address - Country:US
Practice Address - Phone:317-776-1980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-20
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31008423A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist