Individual
KATHLEEN E. LEMIEUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
15808 MILL CREEK BLVD STE 120, MILL CREEK, WA 98012-1500
(425) 225-6867
(425) 332-2494
Mailing address
7320 216TH ST SW STE 320, EDMONDS, WA 98026-8006
(425) 673-3900
(425) 673-3910
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006508
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2093476
—
WA
01
—
384128
WA LABOR & INDUSTRIES
—
Enumeration date
03/30/2017
Last updated
02/10/2020
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