Individual
MS. KATHY LAURIE HATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, LMP
Contact information
Practice address
307 SOUTH 12TH AVENUE, SUITE 5, YAKIMA, WA 98902
(509) 469-4996
(509) 469-4922
Mailing address
PO BOX 9246, YAKIMA, WA 98909-0246
(509) 469-4996
(509) 469-4922
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA60016860
WA
225X00000X
Occupational Therapist
Primary
OT00000673
WA
225XH1200X
Hand Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201618
L I
—
05
—
8446353
—
WA
Enumeration date
05/01/2006
Last updated
05/25/2016
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