Individual
MISS KIRSTEN DIANE PICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3412
Mailing address
201 16TH AVE E, SEATTLE, WA 98112-5226
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60220996
WA
Other
Enumeration date
09/15/2011
Last updated
04/30/2021
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