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Individual

MRS. KELLY L. KLOTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICAL THERAPIST

Contact information

Practice address
3916 148TH ST SE, MILL CREEK, WA 98012
(425) 304-1100
(425) 304-1102
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 304-1100
(425) 304-1102

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT00008056
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8336356
WA
Enumeration date
08/24/2006
Last updated
09/16/2019
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