Individual
KIRSTEN ANNA CAMPBELL
Active
Individual
KIRSTEN ANNA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60744258
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851812622
—
WA
01
—
G8968425
MEDICARE
WA
Enumeration date
07/03/2017
Last updated
11/03/2022
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