MRS. KRISTEN LEIGH PEDERSEN OTR/L NPI 1780881516

NPI Information

  • NPI: 1780881516
  • Provider Name: MRS. KRISTEN LEIGH PEDERSEN, OTR/L
  • Classification: Occupational Therapist - 225XH1200X
  • Specialization: Hand
  • Entity Type: Individual
  • Address: 920 W IRONWOOD DR
    SUITE 207
    COEUR D ALENE, ID
    ZIP 83814
  • Phone: (208) 664-0575

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NPI Details

MRS. Kristen Leigh Pedersen, OTR/L is a hand occupational therapist in Coeur D Alene, ID. MRS. Kristen Leigh Pedersen, OTR/L NPI is 1780881516. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

920 W IRONWOOD DR
SUITE 207
COEUR D ALENE, ID
ZIP 83814-463
Phone: (208) 664-0575
Fax: (208) 664-0576

The enumeration date for this NPI number is 6/27/2007 and was last updated on 1/26/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225XH1200XOccupational TherapistHandOT-912IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
116545051MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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