Individual
KRISTIN ELIZABETH WINDHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
919 E GUADALUPE RD., MESA, AZ 85296
(480) 725-7150
Mailing address
970 W JUNIPER AVE, HERMISTON, OR 97838-2118
(541) 567-8337
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
224ZE0001X
Environmental Modification Occupational Therapy Assistant
457347
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245699065
—
AZ
01
—
1831306380
BOTH MEDICAID MEDICARE
OR
Enumeration date
12/13/2021
Last updated
07/07/2026
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