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Individual

KRISTA PINTER ERTEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MOTR

Contact information

Practice address
2010 BRUSHY CREEK RD, GREER, SC 29650-2614
(815) 539-1409
(815) 539-1652
Mailing address
162 RIDGEWOOD DR, INMAN, SC 29349-4545
(940) 224-2662

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.007990
IL
225X00000X
Occupational Therapist
111050
TX
225X00000X
Occupational Therapist
Primary
4777
SC
225X00000X
Occupational Therapist
6661
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0084034
BLUE LINK #
TX
01
111050
HUMANA ID #
TX
01
125138
SUPERIOR ID #
TX
01
8T1645
BCBS PROVIDER #
TX
Enumeration date
12/06/2005
Last updated
03/11/2026
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