NPI 1104607498

Elyde Marit Carrillo, PTA

Practitioner Physical Therapy Assistant Kennewick, WA

Practice location

Address: 8819 W Victoria Ave # 110, Kennewick, WA 99336-7193
Phone: (509) 783-1851
Mailing address: 8437 Lennox St, West Richland, WA 99353-5533

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 60658597 (WA)

Other Physical Therapy Assistant providers in Washington →

Registry record

NPI: 1104607498
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Oct 2023
Record last updated: 11 Oct 2023

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.