Individual
KRISTEN BANKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
5850 MORNING LIGHT TER, COLORADO SPRINGS, CO 80919-3781
(888) 701-9216
(866) 569-1087
Mailing address
1760 IVER ST, COLORADO SPRINGS, CO 80910-3271
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0000005121
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MSOT.0000004
OT LICENSE
CO
Enumeration date
08/07/2015
Last updated
08/13/2021
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