Whalio Doctors

NPI 1720554660

Kyle Shankle

Practitioner Occupational Therapy Assistant Snohomish, WA

Practice location

Address
1601 Avenue D, Snohomish, WA 98290-1718
Phone
(360) 563-7300
Mailing address
214 161st St SE, Bothell, WA 98012-6332

Registered specialties

Occupational Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OC60896013 (WA)

Registry record

NPI
1720554660
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Oct 2018
Record last updated
18 Oct 2018

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.