Individual
KAREN D SULLIVAN-KNIESTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1188 106TH AVE NE, SUITE 100, BELLEVUE, WA 98004-8612
(425) 455-2630
(425) 451-4390
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00002864
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8369142
—
WA
Enumeration date
12/29/2005
Last updated
10/30/2015
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