Kristine Smoot
Occupational Therapist - Gerontology
44075 Candlewood Dr
Canton
, Michigan 48187-1903
Kristine Smoot
Occupational Therapist - Gerontology
44075 Candlewood Dr
Canton
, Michigan 48187-1903
(734) 788-5581
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Kristine Smoot
- 44075 Candlewood Dr
- Canton, MI
- Zip : 48187-1903
- Phone : (734) 788-5581
Second Address
- Kristine Smoot
- 44075 Candlewood Dr
- Canton, MI
- Zip : 48187-1903
- Phone : (734) 788-5581
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | 5201008840 | MI |
National Provider Identifier
| NPI | 1376959361 |
|---|---|
| Provider Name | Kristine Smoot |
| First Address | Canton, MI 48187-1903 |
| Second Address | Canton, MI 48187-1903 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2014 |
| Last Update Date | 10/10/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.