Individual
KELLY HEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1110
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1110
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2021011620
MO
2251X0800X
Orthopedic Physical Therapist
Primary
PT61675082
WA
Other
Enumeration date
08/15/2014
Last updated
04/30/2026
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