Kristy Claire Braunston, OTR/L

Individual provider Active NPI Occupational Therapist · Covington, WA

NPI 1104425966 · NPPES record last updated Oct 22, 2020

Key facts

NPI
1104425966
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
61043275 (WA)
Practice address
19640 SE 272ND St
Covington, WA 98042-8553
Phone
(253) 373-7620
NPI assigned
Oct 22, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
61043275WAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 61043275 WA Yes

Addresses

Primary practice location

19640 SE 272ND St
Covington, WA 98042-8553

Mailing address

12033 SE 256TH St
Kent, WA 98030-6643
Phone (253) 373-7000

Other providers in Covington, WA

All providers in Covington, WA · Occupational Therapist in Washington

Sources for this page

Verify at the official NPI Registry.