Individual
MS. KATHLEEN TERESA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2569 152ND AVE NE, REDMOND, WA 98052-5549
(425) 497-8180
(425) 497-8358
Mailing address
11028 198TH PL SE, SNOHOMISH, WA 98296-5041
(425) 497-8180
(425) 497-8358
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007693
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8385742
DHSH
WA
Enumeration date
03/27/2007
Last updated
09/24/2007
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