Provider Demographics
NPI:1285987834
Name:HALL, KIMBRE LEIGH (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:KIMBRE
Middle Name:LEIGH
Last Name:HALL
Suffix:
Gender:
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9050 384TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:SNOQUALMIE
Mailing Address - State:WA
Mailing Address - Zip Code:98065-9637
Mailing Address - Country:US
Mailing Address - Phone:425-888-3347
Mailing Address - Fax:425-888-3348
Practice Address - Street 1:9050 384TH AVE SE
Practice Address - Street 2:
Practice Address - City:SNOQUALMIE
Practice Address - State:WA
Practice Address - Zip Code:98065-9637
Practice Address - Country:US
Practice Address - Phone:425-888-3347
Practice Address - Fax:425-888-3348
Is Sole Proprietor?:No
Enumeration Date:2012-10-19
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00003138225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist