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

Kim Takayo Elliott, CTRS

Individual provider Recreation Therapist · NPI 1083470736

Kim Takayo Elliott, CTRS is a Recreation Therapist in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

3350 La Jolla Village Dr
San Diego, CA 92161-0002
Phone: (619) 920-1807
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 33042 (CA)

Record details

NPI number1083470736
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS
Sole proprietorYes
NPI enumeratedFebruary 21, 2024
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024

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