Jan Michelle Kittleson
Occupational Therapist - Gerontology
22813 Carey Rd Sw
Vashon
, Washington 98070-6819
Jan Michelle Kittleson
Occupational Therapist - Gerontology
22813 Carey Rd Sw
Vashon
, Washington 98070-6819
(206) 463-5788
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Jan Michelle Kittleson
- 22813 Carey Rd Sw
- Vashon, WA
- Zip : 98070-6819
- Phone : (206) 463-5788
Second Address
- Jan Michelle Kittleson
- 22813 Carey Rd Sw
- Vashon, WA
- Zip : 98070-6819
- Phone : (206) 463-5788
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | 00001400 | WA |
National Provider Identifier
| NPI | 1467755850 |
|---|---|
| Provider Name | Jan Michelle Kittleson |
| First Address | Vashon, WA 98070-6819 |
| Second Address | Vashon, WA 98070-6819 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/12/2010 |
| Last Update Date | 07/12/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| OT 00001400 | WASHINGTON STATE DEPARTMENT OF HEALTH (01) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.