Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM TAKAYO ELLIOTT, CTRS
Active Sole ProprietorKIM TAKAYO ELLIOTT, CTRS is a Recreation Therapist healthcare provider located in SAN DIEGO, California. NPI 1083470736 is currently active in the NPPES registry. Verify at CMS.
Recreation Therapist · SAN DIEGO, CA
Registration Details
- NPI Number
- 1083470736
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 21, 2024 (2.4421816269315 yrs)
- Last Updated
- Feb 21, 2024
- License
-
33042 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3350 LA JOLLA VILLAGE DRSAN DIEGO, CA, 921610002Browse CA providers · Browse ZIP 92161
- Phone
- 6199201807
- Primary Specialty
-
Recreation Therapist
225800000X
Other Recreation Therapist Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| MR. STEPHEN SEWALL CHAPIN | MBA, CTRS | 1023235686 |
| MS. NANCY M. BAZZETTA | CTRS | 1770704090 |
| JOAN MARIE ANDERSON | CTRS, RTC, ACC | 1376755561 |
| MISS ERICA LEIGH PRICE | — | 1194931261 |
| DIANA D. ROSE | RTC | 1093986978 |
| JENNIFER ANNE BIXLER | RTC | 1063706224 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.