Individual
KENNETH EVAN PAINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1660 S COLUMBIAN WAY # RCS-117-S, SEATTLE, WA 98108-1532
(206) 762-1010
Mailing address
20323 98TH AVE NE, BOTHELL, WA 98011-2314
(425) 806-0836
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006642
WA
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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