Provider Demographics
NPI:1083853279
Name:BALBI, KRISTY MICHELLE (MOT, OTR)
Entity Type:Individual
Prefix:MRS
First Name:KRISTY
Middle Name:MICHELLE
Last Name:BALBI
Suffix:
Gender:F
Credentials:MOT, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2366 EASTLAKE AVE E STE 335
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-3399
Mailing Address - Country:US
Mailing Address - Phone:206-524-9836
Mailing Address - Fax:206-524-9836
Practice Address - Street 1:2366 EASTLAKE AVE E STE 335
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-3399
Practice Address - Country:US
Practice Address - Phone:206-524-9836
Practice Address - Fax:206-524-9836
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-11
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112883225X00000X
WAPENDING225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist