Provider Demographics
NPI:1073730644
Name:KRECKER-SCOTT, NANCY LYNN (MA, MOT)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:LYNN
Last Name:KRECKER-SCOTT
Suffix:
Gender:F
Credentials:MA, MOT
Other - Prefix:
Other - First Name:NAN
Other - Middle Name:L
Other - Last Name:KRECKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMP
Mailing Address - Street 1:10525 - 3RD AVE NW
Mailing Address - Street 2:VIEWLAND'S ELEMENTARY - SEATTLE PUBLIC SCHOOLS DISTRICT
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98177
Mailing Address - Country:US
Mailing Address - Phone:206-522-4400
Mailing Address - Fax:206-522-4401
Practice Address - Street 1:10525 - 3RD AVE NW
Practice Address - Street 2:VIEWLAND'S ELEMENTARY SCHOOL, SEATTLE PUBLIC SCHOOL DIS
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98177
Practice Address - Country:US
Practice Address - Phone:206-522-4400
Practice Address - Fax:206-522-4401
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00003416225700000X
WAOT60134250225X00000X, 225XP0200X, 225XP0019X, 225XG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
No225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology