Individual
KELLY ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1331 118TH AVE SE, 400, BELLEVUE, WA 98005-3890
(425) 644-0988
Mailing address
317 HARVARD AVE E, 302, SEATTLE, WA 98102-6022
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11794
BOARD CERTIFICATION NUMBER
—
Enumeration date
06/07/2016
Last updated
06/07/2016
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