Kelly Ash
Individual provider Active NPI Occupational Therapist · Bothell, WA
NPI 1063807451 · NPPES record last updated Apr 2, 2015
Key facts
- NPI
- 1063807451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 60390254 (WA)
- Practice address
- 17204 123Rd PL NE
Apt N203
Bothell, WA 98011-9410 - Phone
- (206) 787-0971
- NPI assigned
- Apr 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60390254 | WA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 60390254 | WA | Yes |
Addresses
Primary practice location
17204 123Rd PL NE
Apt N203
Bothell, WA 98011-9410
Mailing address
17204 123Rd PL NE
Apt N203
Bothell, WA 98011-9410
Phone (206) 787-0971
Other providers in Bothell, WA
- Elizabeth Arkelin
- Sarah Kathleen Arrieta
- David Leroy Arthur
- Ushta Aryan
- Kayleigh Melissa Ash
- Ashley Schwark Ulrich, DDS, PLLC
- Carol J Ashley
- Michael Thomas Ashley
- Bryce Askew
- Kayce Aspen
All providers in Bothell, WA · Occupational Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.