Provider Demographics
NPI:1386811107
Name:SLEIGHT, KAVITA MAYA IYENGAR (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:KAVITA
Middle Name:MAYA IYENGAR
Last Name:SLEIGHT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:KAVITA
Other - Middle Name:MAYA
Other - Last Name:IYENGAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:1407 BOALCH AVE NW
Mailing Address - Street 2:
Mailing Address - City:NORTH BEND
Mailing Address - State:WA
Mailing Address - Zip Code:98045-7994
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1407 BOALCH AVE NW
Practice Address - Street 2:
Practice Address - City:NORTH BEND
Practice Address - State:WA
Practice Address - Zip Code:98045-7994
Practice Address - Country:US
Practice Address - Phone:425-888-3347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-12
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8692225X00000X
WAOT60305503225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist