Individual
KATIE ELISABETH BUCHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., D.P.T., O.C.S.
Contact information
Practice address
732 LEBO BLVD, BREMERTON, WA 98310-3325
(360) 479-8477
(360) 479-8417
Mailing address
4040 ORCHARD ST W STE 100, FIRCREST, WA 98466-6610
(253) 564-1560
(951) 973-7216
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
41959
CA
225100000X
Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
41959
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205233327
NPI
WA
Enumeration date
12/04/2014
Last updated
09/21/2018
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