Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225700000X | Massage Therapist | MA00003416 | WA |
Y | 225X00000X | Occupational Therapist | OT60134250 | WA |
N | 225XG0600X | Occupational Therapist - Gerontology | OT60134250 | WA |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT60134250 | WA |
N | 225XP0200X | Occupational Therapist - Pediatrics | OT60134250 | WA |
NPI | 1073730644 |
---|---|
Provider Name | Nancy Lynn Krecker-Scott |
First Address | Seattle, WA 98177 |
Second Address | Seattle, WA 98177 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 17/01/2014 |