Provider Demographics
NPI:1780044420
Name:DEVOE, KARLI MARLAYNE (OTR/L)
Entity Type:Individual
Prefix:
First Name:KARLI
Middle Name:MARLAYNE
Last Name:DEVOE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:KARLI
Other - Middle Name:MARLAYNE
Other - Last Name:ANDREVE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3708 E 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-4806
Mailing Address - Country:US
Mailing Address - Phone:360-888-2818
Mailing Address - Fax:
Practice Address - Street 1:153 JOHNS CT
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:WA
Practice Address - Zip Code:98584-8225
Practice Address - Country:US
Practice Address - Phone:360-427-2575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-23
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT60628608225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist