Provider Demographics
NPI:1538293527
Name:FRANCIS, KRISTIN A (OCCUPATION THERAPIST)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:A
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:OCCUPATION THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4220 132ND ST SE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012-8999
Mailing Address - Country:US
Mailing Address - Phone:425-316-8046
Mailing Address - Fax:425-338-9637
Practice Address - Street 1:12911 120TH AVE NE
Practice Address - Street 2:#F120
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-3027
Practice Address - Country:US
Practice Address - Phone:425-823-1389
Practice Address - Fax:425-820-3996
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056-005341208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0315254OtherL & I
WA0315257OtherL & I
WA0315258OtherL & I
IL140049OtherHOSPITAL MC GROUP NUMBER
WA0315135OtherL & I
WAG8923333Medicare PIN
WA0315257OtherL & I
WAG8922882Medicare PIN
WA0315135OtherL & I
WA0315258OtherL & I