Individual
KATHERINE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2930 MAPLE ST, EVERETT, WA 98201-3832
(425) 261-1500
Mailing address
1503 151ST AVE NE, BELLEVUE, WA 98007-4258
(714) 399-8939
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60907075
WA
Other
Enumeration date
03/01/2019
Last updated
06/23/2021
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