Individual
CARLY KAY KISKA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
11400 SE 6TH ST, SUITE 105, BELLEVUE, WA 98004-6423
(425) 576-8180
(425) 746-2002
Mailing address
209 KIRKLAND AVE, KIRKLAND, WA 98033-6503
(425) 419-4363
(425) 419-4969
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60277346
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020740
—
WA
Enumeration date
06/27/2012
Last updated
01/22/2020
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