Provider Demographics
NPI:1902236029
Name:CLINE, KAELA SHEA (OTR/L)
Entity Type:Individual
Prefix:
First Name:KAELA
Middle Name:SHEA
Last Name:CLINE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 S 8TH ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-4614
Mailing Address - Country:US
Mailing Address - Phone:253-973-2722
Mailing Address - Fax:
Practice Address - Street 1:16222 MERIDIAN E STE 101
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98375-6332
Practice Address - Country:US
Practice Address - Phone:253-864-7595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-26
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist