Kendo, Marisa A
Kendo, Marisa A is an individual health care provider with primary practice located at 9425 N Nevada St , Spokane WA 99218-5014. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Kendo, Marisa A can be contacted via phone (509) 270-0065.Contact Information
Primary practice address
9425 N Nevada St
Spokane WA 99218-5014
Phone: (509) 270-0065
Fax: (509) 319-2520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT61029052 | Washington |
Profile Details
| NPI number | 1780216986 |
|---|---|
| LBN Legal business name | Kendo, Marisa A |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2020 |
| Last updated | Feb 12th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780216986 | NPPES |
| Washington | MEDICAID | OT61029052 |
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