Individual provider · Type 1 NPI

Jaqulyn Nikole Carrell, M.ED, ATC, LAT, CKTP

Specialist · Seattle, WA

NPI number 1497130207 Active

Practice location

3910 Montlake Blvd NE
Seattle, WA 98195-0001

Mailing address

1190 Highland Lake Way
Brownsburg, IN 46112-7833

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA1 60486324 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1497130207

Jaqulyn Nikole Carrell, M.ED, ATC, LAT, CKTP's National Provider Identifier is 1497130207, issued on Jul 22, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Seattle, WA. The record was last updated on Jul 22, 2015.