Healthcare Provider Details

I. General information

NPI: 1649151481
Provider Name (Legal Business Name): AMY KNUTSON OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2025
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14028 NE BEL RED RD
BELLEVUE WA
98007-3913
US

IV. Provider business mailing address

7016 15TH AVE NW UNIT 306
SEATTLE WA
98117-5590
US

V. Phone/Fax

Practice location:
  • Phone: 425-502-8621
  • Fax: 206-260-3604
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number70022357
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: