Individual
MS. KERRY KATHLEEN SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
707 S. PARK ST., DEER PARK, WA 99006
(509) 276-8811
(866) 629-4801
Mailing address
707 S. PARK ST., DEER PARK, WA 99006
(509) 276-8811
(866) 629-4801
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1916-PT
MT
225100000X
Physical Therapist
Primary
PT60119190
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03401515
—
MT
Enumeration date
05/23/2006
Last updated
05/02/2023
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