Individual
KENDALL WISEHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Contact information
Practice address
3221 EASTLAKE AVE E STE 110, SEATTLE, WA 98102-7125
(206) 405-1864
Mailing address
3221 EASTLAKE AVE E STE 110, SEATTLE, WA 98102-7125
(206) 405-1864
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60591574
WA
Other
Enumeration date
07/29/2015
Last updated
11/17/2016
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