Healthcare Provider Details

I. General information

NPI: 1427968056
Provider Name (Legal Business Name): MICHAEL ROBERT WEST OTR/L
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10200 SE 216TH ST
KENT WA
98031-2036
US

IV. Provider business mailing address

1050 JAMES ST UNIT 209
SEATTLE WA
98104-2493
US

V. Phone/Fax

Practice location:
  • Phone: 253-373-7470
  • Fax:
Mailing address:
  • Phone: 973-934-3150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number70029745
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: