Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elyde Marit Carrillo, PTA

Individual provider Physical Therapy Assistant · NPI 1104607498

Elyde Marit Carrillo, PTA is a Physical Therapy Assistant in Kennewick, Washington. Licensed in Washington. Registered with an NPI since 2023.

Licensed in
WA
In the registry since
2023
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

8819 W Victoria Ave # 110
Kennewick, WA 99336-7193
Phone: (509) 783-1851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 60658597 (WA)

Record details

NPI number1104607498
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 11, 2023
Last updated in NPPESOctober 11, 2023
Certification dateOctober 11, 2023
Mailing address8437 Lennox St, West Richland, WA 99353-5533

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