Individual
KATHRYN DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4770 YELM HWY SE, LACEY, WA 98503-4986
(206) 819-3231
(360) 688-7499
Mailing address
5910 CHEROKEE LOOP SE, LACEY, WA 98513-6205
(206) 819-3231
(360) 688-7499
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60715581
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2073350
—
WA
Enumeration date
01/19/2016
Last updated
01/18/2023
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