Middendorf, Kristie

Middendorf, Kristie is an sole proprietor health care provider with primary practice located at 6309 Michael Dr Ne , Cedar Rapids IA 52411-7982. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Middendorf, Kristie can be contacted via phone (954) 312-3449.

Contact Information

Primary practice address
6309 Michael Dr Ne Cedar Rapids IA 52411-7982
Phone: (954) 312-3449
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 00791 Iowa

Profile Details

NPI number 1538788112
LBN Legal business name Middendorf, Kristie
Credentials MS, OTR/L, BCP, CLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2020
Last updated May 4th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538788112 NPPES
Florida MEDICAID 225X00000X

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