Thomas Kellough
Occupational Therapy Assistant
835 Madison Ave N
Bainbridge Island
, Washington 98110-1700
Thomas Kellough
Occupational Therapy Assistant
835 Madison Ave N
Bainbridge Island
, Washington 98110-1700
(206) 842-4765
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Thomas Kellough
- 835 Madison Ave N
- Bainbridge Island, WA
- Zip : 98110-1700
- Phone : (206) 842-4765
Second Address
- Thomas Kellough
- 835 Madison Ave N
- Bainbridge Island, WA
- Zip : 98110-1700
- Phone : (206) 842-4765
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 0C00000849 | WA |
National Provider Identifier
| NPI | 1023447356 |
|---|---|
| Provider Name | Thomas Kellough |
| First Address | Bainbridge Island, WA 98110-1700 |
| Second Address | Bainbridge Island, WA 98110-1700 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/11/2013 |
| Last Update Date | 07/11/2013 |
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.