Provider Demographics
NPI:1316366396
Name:BATTS, CALLIE (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:CALLIE
Middle Name:
Last Name:BATTS
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11320 ROOSEVELT WAY NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-6228
Mailing Address - Country:US
Mailing Address - Phone:206-362-9169
Mailing Address - Fax:206-258-4390
Practice Address - Street 1:11320 ROOSEVELT WAY NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-6228
Practice Address - Country:US
Practice Address - Phone:206-362-9169
Practice Address - Fax:206-258-4390
Is Sole Proprietor?:No
Enumeration Date:2014-04-07
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT 60455258225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist