IndividualActive
Kristi King, COTA/L
NPI 1356111975 · Occupational Therapy Assistant · Eldon, MO
Provider details
- NPI number
- 1356111975
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- 2011001358 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
112 S Pine St
Eldon, MO 65026-1581
Phone: (573) 392-8000
Approximate (ZIP-level) locationGet directions
Mailing address
189 S Branch Ln
Eldon, MO 65026-4446
Registry dates
- Enumerated
- 2024-01-04
- Last updated
- 2024-01-04
- Certified
- 2024-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.