Organization
KEVIN'S MANUAL THERAPY AND REHAB LLC
Active
Other names
Kevin Malone PT
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN C MALONE PT (MEMBER, MANAGER)
(206) 818-4739
Entity
Organization
Contact information
Practice address
23745 225TH WAY SE, MAPLE VALLEY, WA 98038-5294
(425) 432-0821
(888) 259-5378
Mailing address
23745 225TH WAY SE, MAPLE VALLEY, WA 98038-5294
(425) 432-0821
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003078
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8334476
—
WA
Enumeration date
04/23/2014
Last updated
04/23/2014
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