Individual
ERIN M. KINNEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT, DMT
Contact information
Practice address
7308 BRIDGEPORT WAY W, STE. 103, LAKEWOOD, WA 98499-8000
(253) 582-8142
(253) 582-8160
Mailing address
4040 ORCHARD ST W, STE. 100, FIRCREST, WA 98466-6606
(253) 564-1560
(253) 564-4449
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00010249
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0301795
L & I
WA
01
—
0301799
L & I
WA
01
—
0301800
L & I
WA
01
—
0302294
L & I
WA
Enumeration date
11/20/2006
Last updated
07/22/2015
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