Individual
KELCY L LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3515 NE 45TH ST, SEATTLE, WA 98105-5640
(206) 402-5483
Mailing address
3515 NE 45TH ST, SEATTLE, WA 98105-5640
(206) 402-5483
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60022081
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639320062
—
WA
05
—
8525891
—
WA
01
—
P00836813
RR MEDICARE
WA
Enumeration date
10/03/2008
Last updated
10/12/2023
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