Individual
KRISTI RENTZSCH HALDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
311 CONGRESS PKWY N, SUITE 800, ATHENS, TN 37303-1699
(423) 744-0890
(423) 744-0849
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
109617
TX
225X00000X
Occupational Therapist
Primary
OT3825
TN
225X00000X
Occupational Therapist
OT4743
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1504837
—
TN
Enumeration date
06/16/2008
Last updated
02/05/2009
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