National Provider Identifier

Krysta M Rives, COTA/L

Krysta M Rives, COTA/L is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Jamestown, NY and a listed phone number of (716) 490-2881.

NPI 1609648880Jamestown, NYOccupational Therapy Assistant

Profile Overview

NPI
1609648880
Provider Type
Individual
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
October 23, 2023
Last Updated
October 23, 2023

Practice Location

  • 917 Washington St
  • Jamestown, NY 14701-3044

Phone: (716) 490-2881

Mailing Address

  • 300 Trenton St
  • Jamestown, NY 14701-7505

Specialties

  • Occupational Therapy Assistant (224Z00000X)
Full Record
NPI
1609648880
Entity Type
Individual
Last Name
Rives
First Name
Krysta
Middle Name
M
Name Prefix
Dr.
Credential
COTA/L
Mailing Street Address
300 Trenton St
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-7505
Mailing Country
US
Mailing Phone
(716) 490-2881
Practice Street Address
917 Washington St
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-3044
Practice Country
US
Practice Phone
(716) 490-2881
Enumeration Date
October 23, 2023
Last Updated
October 23, 2023
Sex
Female
Sole Proprietor
No
Certification Date
October 23, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapy Assistant (224Z00000X)