Individual
MRS. KAYLA MARIE LUNDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
401 15TH AVE SE, PUYALLUP, WA 98372-3715
(253) 697-2065
Mailing address
401 15TH AVE SE, PUYALLUP, WA 98372-3715
(253) 697-2065
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251C2600X
Cardiopulmonary Physical Therapist
—
—
2251E1200X
Ergonomics Physical Therapist
—
—
2251E1300X
Clinical Electrophysiology Physical Therapist
—
—
2251H1300X
Human Factors Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
04/06/2012
Last updated
12/12/2012
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