Individual provider · Type 1 NPI

Michael D. Crisp, OTR/L

Occupational Therapist · Boulder, CO

NPI number 1396905618 Active

Practice location

801 Gillaspie Dr
Boulder, CO 80305-6548

Call (904) 618-3778 Map

Mailing address

PO Box 932184
Atlanta, GA 31193-2184

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000XOT00003965 (WA)
Occupational Therapist Primary 225X00000XOT.0006082 (CO)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1396905618

Michael D. Crisp, OTR/L's National Provider Identifier is 1396905618, issued on Jun 10, 2008. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Boulder, CO. The record was last updated on Jun 26, 2026.