Provider Demographics
NPI:1952429565
Name:HANSEN, KRISTI NICOLE (OTR)
Entity type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:NICOLE
Last Name:HANSEN
Suffix:
Gender:
Credentials:OTR
Other - Prefix:MISS
Other - First Name:KRISTI
Other - Middle Name:NICOLE
Other - Last Name:HANN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:14266 W 157TH TER
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-5865
Mailing Address - Country:US
Mailing Address - Phone:719-510-0373
Mailing Address - Fax:
Practice Address - Street 1:10730 NALL AVE STE 200
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1285
Practice Address - Country:US
Practice Address - Phone:913-588-1227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1038856225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q54999Medicare UPIN
803701Medicare ID - Type Unspecified