Kristie Ann Dodge, OTR/L - Occupational Therapist in Prescott, AZ

Kristie Ann Dodge, OTR/L is a Occupational Therapist based in Prescott, Arizona. Kristie Ann Dodge is licensed to practice in Arizona (license number 2976) and her current practice location is 340 N Mount Vernon Ave, Prescott, Arizona. She can be reached at her office (for appointments etc.) via phone at (928) 771-0465.

NPI number for Kristie Ann Dodge is 1376587428 and her current mailing address is 5937 N Milano Ct, Prescott Valley, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376587428.

Contact Information

Kristie Ann Dodge, OTR/L
340 N Mount Vernon Ave,
Prescott, AZ 86301-2620
(928) 771-0465
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKristie Ann Dodge
GenderFemale
SpecialityOccupational Therapist
Location340 N Mount Vernon Ave, Prescott, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1376587428
  • Provider Enumeration Date: 06/16/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Kristie Ann Dodge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376587428NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 2976 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristie Ann Dodge is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kristie Ann Dodge, OTR/L
5937 N Milano Ct,
Prescott Valley, AZ 86314-3806

Ph: (928) 775-7580
Kristie Ann Dodge, OTR/L
340 N Mount Vernon Ave,
Prescott, AZ 86301-2620

Ph: (928) 771-0465

Reviews and Comments


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