Healthcare Provider Details

I. General information

NPI: 1437071511
Provider Name (Legal Business Name): ROOTBOUND HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10212 5TH AVE NE
SEATTLE WA
98125-7452
US

IV. Provider business mailing address

10212 5TH AVE NE
SEATTLE WA
98125-7452
US

V. Phone/Fax

Practice location:
  • Phone: 425-699-6873
  • Fax: 800-381-1472
Mailing address:
  • Phone: 425-699-6873
  • Fax: 800-381-1472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. KAILYN ROBERT ELLIOTT
Title or Position: FOUNDER/CMO
Credential: ARNP
Phone: 206-788-6005