Provider Demographics
NPI:1346584604
Name:HESCH, MARTHA KELLEY (OTR/L)
Entity Type:Individual
Prefix:
First Name:MARTHA
Middle Name:KELLEY
Last Name:HESCH
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:MARTHA
Other - Middle Name:KELLEY
Other - Last Name:CADY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:5218 S PEARL ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-2148
Mailing Address - Country:US
Mailing Address - Phone:206-325-5353
Mailing Address - Fax:
Practice Address - Street 1:3330 MONTE VILLA PKWY
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98021-8972
Practice Address - Country:US
Practice Address - Phone:425-408-4064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-26
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00000811225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics