Jacob Ryan Kelp

NPI #1649057399 in Brush Prairie, Washington

Provider Information

NPI Number: 1649057399
Entity Type: Individual
Name: Jacob Ryan Kelp
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Sep 14, 2023
Last Updated: Sep 14, 2023

Practice Location

Address: 11104 NE 149TH ST
City: Brush Prairie
State: Washington
ZIP Code: 98606-9565
Phone: (360) 885-5300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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