Provider Demographics
NPI:1255995940
Name:ARNOLD, KRISTEN LYNN (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:LYNN
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:LYNN
Other - Last Name:BATES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTR/L
Mailing Address - Street 1:140 WELLSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:WELLSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17365-9702
Mailing Address - Country:US
Mailing Address - Phone:717-645-8233
Mailing Address - Fax:
Practice Address - Street 1:804 BELVEDERE ST
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-4001
Practice Address - Country:US
Practice Address - Phone:717-512-2841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-28
Last Update Date:2019-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC012577225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist