Individual
DR. KIMBERLY D BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, PHD
Contact information
Practice address
1125 E OLIVE ST STE B, SEATTLE, WA 98122-8406
(206) 486-0710
(206) 322-9169
Mailing address
PO BOX 759, MERCER ISLAND, WA 98040-0759
(206) 778-6405
(206) 322-9169
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00002906
WA
2251X0800X
Orthopedic Physical Therapist
00002906
WA
Other
Enumeration date
04/10/2006
Last updated
08/11/2019
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