Individual
KRYSTE HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2780 28TH AVE, GREELEY, CO 80634-7803
(970) 339-0011
(970) 339-0033
Mailing address
2780 28TH AVE, GREELEY, CO 80634-7803
(970) 339-0011
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
978694
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
94875235
—
CO
Enumeration date
10/18/2006
Last updated
07/08/2007
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