Individual
KELLY K BARTLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
505 E 3RD AVE, SUITE B, SPOKANE, WA 99202-1426
(509) 838-2531
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
(509) 838-2531
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009388
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0181513
L&I
WA
Enumeration date
08/11/2005
Last updated
12/12/2008
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