Individual
KRISTEN HEATHER SHOWALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, LMT
Contact information
Practice address
3840 HULEN ST STE 100, FORT WORTH, TX 76107-7269
(817) 569-4300
Mailing address
4 LOUISE PL, STAATSBURG, NY 12580-6124
(646) 234-6729
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
016038
NY
225X00000X
Occupational Therapist
018022
NY
225X00000X
Occupational Therapist
Primary
118574
TX
Other
Enumeration date
03/20/2015
Last updated
01/30/2026
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