Individual
KELLY SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MOMT
Contact information
Practice address
3636 WOODSIDE CT, BELLINGHAM, WA 98226-4195
(206) 818-4149
Mailing address
3636 WOODSIDE CT, BELLINGHAM, WA 98226-4195
(206) 818-4149
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 00003769
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0127353
L&I
WA
Enumeration date
04/14/2016
Last updated
09/26/2023
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