Individual
KAYATHRIDEVI KRISHNASAMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 NW GILMAN BLVD STE 200, ISSAQUAH, WA 98027-2470
(425) 392-6804
Mailing address
2000 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1055
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.PT.60337161
WA
261QP2000X
Physical Therapy Clinic/Center
Primary
PT.PT.60337161
WA
Other
Enumeration date
06/04/2026
Last updated
06/10/2026
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