Individual
KRISTIN L BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
7410 CO HWY K, SIREN, WI 54872
(715) 349-7600
Mailing address
9396 N HIGHLINE RD, HAYWARD, WI 54843-2193
(715) 699-5481
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
5219-27
WI
225X00000X
Occupational Therapist
Primary
6634-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5219-27
WI STATE LICENSE
WI
01
—
6634-26
WI STATE LICENSE
WI
Enumeration date
08/20/2015
Last updated
10/24/2019
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