Individual
AKHILA KRISHNAKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7424 BRIDGEPORT WAY W STE 201, LAKEWOOD, WA 98499-8134
(253) 240-2110
(253) 240-2111
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61136944
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2193664
—
WA
Enumeration date
12/01/2020
Last updated
11/15/2024
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