| Doctor Name: | MS. CRYSTAL KIYOMI OKAMOTO |
| NPI Number: | 1750514584 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 2786 |
| Business Practice Address: | 1171 West Gannon Festus, MO - 63028 |
| Business Phone Number: | 6369337200 |
| Business Fax Number: | 6369337203 |
| Mailing Address: | 14450 South Outer 40 Rd, CHESTERFIELD |
| State: | MO |
| Postal Code: | 63017 |
| Phone Number: | 3144346060 |
| Fax Number: | 3144346066 |
| NPI Enumeration Date: | 08/27/2009 |
| NPI Last Update Date: | 01/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2786 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | HI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |