Healthcare Provider Details

I. General information

NPI: 1679487177
Provider Name (Legal Business Name): KAYLA SUE K ACHESON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 E 5TH AVE
SPOKANE WA
99202-1394
US

IV. Provider business mailing address

5211 W PACIFIC PARK DR
SPOKANE WA
99208-9677
US

V. Phone/Fax

Practice location:
  • Phone: 509-344-5770
  • Fax:
Mailing address:
  • Phone: 509-385-7899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: