Individual
KRISTINE SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1004 W JAMES ST, SUITE 101, KENT, WA 98032-4316
(253) 852-3194
(253) 852-2884
Mailing address
1004 W JAMES ST, SUITE 101, KENT, WA 98032-4316
(253) 852-3194
(253) 852-2884
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6012
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197497
LABOR & INDUSTRIES
WA
05
—
8391443
—
WA
Enumeration date
09/25/2006
Last updated
07/09/2007
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