Provider Demographics
NPI:1477376473
Name:MATRONIA, ALAYSHA NICHOLE (OTD, OTR/L)
Entity type:Individual
Prefix:DR
First Name:ALAYSHA
Middle Name:NICHOLE
Last Name:MATRONIA
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 SOROYA DR SW APT D
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-5147
Mailing Address - Country:US
Mailing Address - Phone:330-354-8393
Mailing Address - Fax:
Practice Address - Street 1:1330 HORNE ST NE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98516-5614
Practice Address - Country:US
Practice Address - Phone:360-412-4660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT012991225X00000X
WAOT61597275225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist