Individual
KRISTA LILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
920 4TH ST, GARRETSON, SD 57030-2006
(605) 594-3466
Mailing address
251 OPAL CT, WINDSOR, CO 80550-5560
(970) 231-0344
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
0000662
CO
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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