Individual
MS. MARY ANN KAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2366 EASTLAKE AVE E STE 230, SEATTLE, WA 98102-6500
(206) 706-7725
Mailing address
PO BOX 70125, SEATTLE, WA 98127-0125
(206) 706-7725
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA00004016
WA
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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