Kala Gardner
Occupational Therapist in Bonney Lake, WA. Individual provider (NPI-1).
NPI number1487015657
StatusActive
Last updated in NPPESDec 14, 2016
Details
- NPI
- 1487015657
- Entity type
- Individual (NPI-1)
- Name
- Kala Gardner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 15, 2016
- Last updated
- Dec 14, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT60699125 | WA | Yes |
| 225X00000X | Occupational Therapist | OC014346 | PA |
Practice location
10004 204th Ave ESte 3100
Bonney Lake, WA 98391-6539
Phone 253-863-7510 · Fax 253-863-5970
Mailing address
790 Remington BlvdBolingbrook, IL 60440-4909
Phone 630-296-2223 · Fax 630-759-9510
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 18 Occupational Therapist providers in Bonney Lake · All 539 providers in Bonney Lake
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