Individual
KENDRA J FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 258-3900
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PU20001192
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0223978
DEPARTMEMT OF L&I
WA
01
—
3716DE
REGENCE
WA
01
—
3819DE
REGENCE
WA
01
—
4613DE
REGENCE
WA
01
—
5065DE
REGENCE
WA
01
—
5305FR
REGENCE
WA
01
—
6713DE
REGENCE
WA
01
—
8343947
DSHS
WA
01
—
8343949
DSHS
WA
01
—
8490674
DSHS
WA
01
—
8945108
L&I CRIME VICTIMS
WA
01
—
8945378
L&I CRIME
WA
01
—
8945380
L&I CRIME
WA
01
—
9312078
AETNA
WA
01
—
P00461042
RAILROAD MEDICARE
WA
Enumeration date
06/01/2007
Last updated
07/16/2013
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