Provider Demographics
NPI:1932351525
Name:BENOIT, KARISSA (OTR)
Entity Type:Individual
Prefix:
First Name:KARISSA
Middle Name:
Last Name:BENOIT
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:KARISSA
Other - Middle Name:
Other - Last Name:AASER-BENOIT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR
Mailing Address - Street 1:11486 S REGENCY PL
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-7330
Mailing Address - Country:US
Mailing Address - Phone:303-993-5641
Mailing Address - Fax:
Practice Address - Street 1:11486 S REGENCY PL
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-7330
Practice Address - Country:US
Practice Address - Phone:303-993-5641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225XF0002XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistFeeding, Eating & Swallowing