Individual
KASIH DENEB TATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
11711 NE 12TH ST STE 3A, BELLEVUE, WA 98005-2461
(360) 658-8400
(360) 658-2606
Mailing address
17020 TWIN LAKES AVE STE C101, MARYSVILLE, WA 98271-4731
(396) 065-8840
(360) 658-2606
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61178441
WA
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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