Basic Information
| Provider Information | |||||||||
| NPI: | 1780971879 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KAPOSTASY | ||||||||
| FirstName: | MEAGAN | ||||||||
| MiddleName: | ELYSE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PT, DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 181 S 333RD ST | ||||||||
| Address2: | SUITE 250 | ||||||||
| City: | FEDERAL WAY | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980037363 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2538742998 | ||||||||
| FaxNumber: | 2538743307 | ||||||||
| Practice Location | |||||||||
| Address1: | 13050 MILITARY RD S | ||||||||
| Address2: | |||||||||
| City: | TUKWILA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981683047 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2062483080 | ||||||||
| FaxNumber: | 2062484242 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/08/2011 | ||||||||
| LastUpdateDate: | 12/16/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT60232583 | WA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.