MEDICARE: MS. KAY FRANCES LAKEY RPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	PT00003878	WA

General Provider Information

NPI Number	:	1811058134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAY FRANCES LAKEY RPT

Provider Business Mailing Address
First Line	:	19208 15TH AVE NW
Second Line	:
City	:	SHORELINE
State	:	WA
Zip	:	98177-2726
Country	:	US
Telephone Number	:	206-542-5528
Fax Number	:	--

Provider Business Practice Location Address
First Line	:	9500 ROOSEVELT WAY NE
Second Line	:	SUITE 200A
City	:	SEATTLE
State	:	WA
Zip	:	98115-2253
Country	:	US
Telephone Number	:	206-523-7086
Fax Number	:	206-517-5304

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	03/24/2022

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