Individual
CELESTE MISKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
17500 SE 392ND ST, AUBURN, WA 98092-9705
(253) 939-6648
Mailing address
2702 S 42ND ST STE 310, TACOMA, WA 98409-7324
(253) 472-7844
(253) 472-8474
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007981
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002356
—
WA
05
—
8339269
—
WA
Enumeration date
11/21/2006
Last updated
02/26/2020
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