NPI 1083470736
Kim Takayo Elliott, CTRS
Practice location
- Address
- 3350 La Jolla Village Dr, San Diego, CA 92161-0002
- Phone
- (619) 920-1807
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1083470736
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Feb 2024
- Record last updated
- 21 Feb 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.