Lisa Andrew
Individual provider Active NPI Occupational Therapist · Lacey, WA
NPI 1760235014 · NPPES record last updated Apr 8, 2024
Key facts
- NPI
- 1760235014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT00000203 (WA)
- Practice address
- 4200 6TH Ave SE
Suite 201
Lacey, WA 98503-1042 - Phone
- (360) 459-8311
- NPI assigned
- Apr 8, 2024
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| OT00000203 | WA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT00000203 | WA | Yes |
Addresses
Primary practice location
4200 6TH Ave SE
Suite 201
Lacey, WA 98503-1042
Mailing address
4200 6TH Ave SE
Suite 201
Lacey, WA 98503-1042
Phone (360) 459-8311
Other providers in Lacey, WA
- Emily Ruth Anderson
- Jennifer Louise Anderson
- John Anderson
- Raymond Anderson
- Andrea Broadwater Counseling and Consulting, LLC
- Alex Anelon
- Kellie R Anton
- Valerie Aper
- Apple Physical Therapy PS
- Apricus Counseling, LLC
All providers in Lacey, 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 8, 2024. 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.