Organization
KZTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEVAN KRISHTAN MARTIN AAC (COUNCLER)
(253) 508-4940
Entity
Organization
Contact information
Practice address
417 E PIONEER STE B, PUYALLUP, WA 98372-3267
(253) 285-8673
Mailing address
417 E PIONEER STE B, PUYALLUP, WA 98372-3267
(253) 285-8673
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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