Provider Demographics
NPI:1750929469
Name:NAFUS, MAKENZI (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:MAKENZI
Middle Name:
Last Name:NAFUS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:MAKENZI
Other - Middle Name:
Other - Last Name:SWARTWOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:131 NE MAX WILLIAM LOOP
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-9161
Mailing Address - Country:US
Mailing Address - Phone:607-229-2940
Mailing Address - Fax:
Practice Address - Street 1:9951 MICKELBERRY RD NW
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-8309
Practice Address - Country:US
Practice Address - Phone:360-286-2351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-12
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT61058378225X00000X
SC5735225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist