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Individual

ALYSON LEIGH KILGUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
21806 103RD AVENUE CT E, #202, GRAHAM, WA 98338-8115
(253) 847-3700
(256) 847-9622
Mailing address
315 MARTIN L KING JR WAY, TACOMA, WA 98405-4234
(253) 891-7490
(253) 863-1052

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60028702
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0291093
DEPT. OF LABOR AND INDUSTRIES
WA
05
8520769
WA
01
P00725348
MEDICARE RAILROAD
WA
Enumeration date
08/26/2008
Last updated
08/25/2016
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