Provider Demographics
NPI:1881748549
Name:LA MOTTE, MICHELLE ELAINE (OTR)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:ELAINE
Last Name:LA MOTTE
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MISS
Other - First Name:MICHELLE
Other - Middle Name:ELAINE
Other - Last Name:INGLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:2606 E SNEAD AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-9587
Mailing Address - Country:US
Mailing Address - Phone:509-209-7429
Mailing Address - Fax:
Practice Address - Street 1:2606 E SNEAD AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-9587
Practice Address - Country:US
Practice Address - Phone:509-209-7429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00004197225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics