Provider Demographics
NPI:1659263697
Name:HOWARD-LLOYD, KIMBERLY JEANNE (COTA/L)
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:JEANNE
Last Name:HOWARD-LLOYD
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:MRS
Other - First Name:KIMBERLY
Other - Middle Name:JEANNE
Other - Last Name:HOWARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3504 204TH ST SW APT D202
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-6847
Mailing Address - Country:US
Mailing Address - Phone:425-791-1951
Mailing Address - Fax:
Practice Address - Street 1:17624 15TH AVE SE STE 111A
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98012-5107
Practice Address - Country:US
Practice Address - Phone:425-371-5698
Practice Address - Fax:425-217-5923
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOC61623069224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant