Provider Demographics
NPI:1932733938
Name:MCNUTT, CHLOE MARIE (OTR/L)
Entity Type:Individual
Prefix:
First Name:CHLOE
Middle Name:MARIE
Last Name:MCNUTT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:365 LYNN ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-2349
Mailing Address - Country:US
Mailing Address - Phone:206-909-8254
Mailing Address - Fax:
Practice Address - Street 1:348 W KING TUT RD
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-9652
Practice Address - Country:US
Practice Address - Phone:360-398-2772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-27
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT61046605225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist