Individual
KELSEY ANN MCFARLAND ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
9801 FRONTIER AVE SE, SNOQUALMIE, WA 98065-5200
(425) 831-3761
Mailing address
37526 SE FURY ST, SNOQUALMIE, WA 98065-9593
(360) 621-9337
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
56429
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56429
NCTRC
—
01
—
RE60050280
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
12/17/2024
Last updated
12/17/2024
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