National Provider Identifier
Kirsti Rebecca Shields, OTR
Kirsti Rebecca Shields, OTR is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Fairport, NY and a listed phone number of (585) 377-2230.
Profile Overview
- NPI
- 1144473083
- Provider Type
- Individual
- Primary Specialty
- Pediatric Occupational Therapist
- Enumeration Date
- October 23, 2008
- Last Updated
- October 23, 2008
Practice Location
- 149 N Main St
- Fairport, NY 14450-1434
Phone: (585) 377-2230
Mailing Address
- 958 Boughton Hill RD
- Victor, NY 14564-9003
Specialties
- Pediatric Occupational Therapist (225XP0200X)
Full Record
- NPI
- 1144473083
- Entity Type
- Individual
- Last Name
- Shields
- First Name
- Kirsti
- Middle Name
- Rebecca
- Name Prefix
- Mrs.
- Credential
- OTR
- Mailing Street Address
- 958 Boughton Hill RD
- Mailing City
- Victor
- Mailing State
- NY
- Mailing ZIP Code
- 14564-9003
- Mailing Country
- US
- Mailing Phone
- (585) 388-9005
- Practice Street Address
- 149 N Main St
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1434
- Practice Country
- US
- Practice Phone
- (585) 377-2230
- Enumeration Date
- October 23, 2008
- Last Updated
- October 23, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X)