Individual
KAITLIN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
33650 6TH AVE S STE 100, FEDERAL WAY, WA 98003-6754
(253) 942-3308
Mailing address
7438 CORLISS AVE N, SEATTLE, WA 98103-4933
(612) 816-2716
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60320481
WA
Other
Enumeration date
03/30/2012
Last updated
07/29/2014
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