Individual
MRS. KATHRYN C PECKHAM
Active
Individual
MRS. KATHRYN C PECKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, CMP
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305213474
VA
225100000X
Physical Therapist
Primary
PT8647
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174185
LABOR & INDUSTRIES
WA
05
—
8373581
—
WA
Enumeration date
09/13/2006
Last updated
05/14/2026
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