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

Nico Lis, OTR

Individual provider Occupational Therapist · NPI 1861228579

Nico Lis, OTR is an Occupational Therapist in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2024.

Licensed in
WA
In the registry since
2024
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

7821 62nd Ave NE Ste 202
Seattle, WA 98115-8173
Phone: (206) 325-8477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 61571356 (WA)

Record details

NPI number1861228579
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials OTR
Sole proprietorNo
NPI enumeratedSeptember 10, 2024
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024

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