Basic Information
Provider Information
NPI: 1336158922
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUNTER
FirstName: KATHLEEN
MiddleName: N.
NamePrefix: MS.
NameSuffix:  
Credential: PT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: DENNING
OtherFirstName: KATHLEEN
OtherMiddleName: N
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: PT
OtherLastNameType: 1
Mailing Information
Address1: 805 MADISON ST
Address2: SUITE 901
City: SEATTLE
State: WA
PostalCode: 981041172
CountryCode: US
TelephoneNumber: 2062648100
FaxNumber: 2062648689
Practice Location
Address1: 7320 216TH ST SW
Address2: SUITE 320
City: EDMONDS
State: WA
PostalCode: 980268006
CountryCode: US
TelephoneNumber: 4256733916
FaxNumber: 4256733910
Other Information
ProviderEnumerationDate: 08/05/2006
LastUpdateDate: 10/20/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000XPT00009407WAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


Home