Individual
DR. BRAIDEN KINGSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
21651 E COUNTRY VISTA DR, LIBERTY LAKE, WA 99019-7708
(509) 598-9402
Mailing address
PO BOX 72, LIBERTY LAKE, WA 99019-0072
(509) 598-9402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT5553
ID
225100000X
Physical Therapist
Primary
PT60645217
WA
Other
Enumeration date
08/01/2016
Last updated
10/08/2020
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