Provider Demographics
NPI:1578435913
Name:WELD, LINNAEA (OT)
Entity type:Individual
Prefix:
First Name:LINNAEA
Middle Name:
Last Name:WELD
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:LENNY
Other - Middle Name:
Other - Last Name:WELD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 400
Mailing Address - Street 2:
Mailing Address - City:INDIANOLA
Mailing Address - State:WA
Mailing Address - Zip Code:98342-0400
Mailing Address - Country:US
Mailing Address - Phone:510-853-2610
Mailing Address - Fax:
Practice Address - Street 1:2400 NW MYHRE RD STE 101
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-7672
Practice Address - Country:US
Practice Address - Phone:360-613-1834
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT61684598225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist