Provider Demographics
NPI:1487295127
Name:GARRISON, KELLEY (ND)
Entity type:Individual
Prefix:DR
First Name:KELLEY
Middle Name:
Last Name:GARRISON
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1151 ELLIS ST
Mailing Address - Street 2:STE 206
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225
Mailing Address - Country:US
Mailing Address - Phone:360-564-7887
Mailing Address - Fax:866-377-5392
Practice Address - Street 1:1151 ELLIS ST
Practice Address - Street 2:STE 206
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225
Practice Address - Country:US
Practice Address - Phone:360-564-7887
Practice Address - Fax:866-377-5392
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-03
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA175F00000X
WANT60996791175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath