Healthcare Provider Details

I. General information

NPI: 1750214169
Provider Name (Legal Business Name): ANUSHREE KAILAS GURAV
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13020 MERIDIAN AVE S STE 300
EVERETT WA
98208-6468
US

IV. Provider business mailing address

18606 ALDERWOOD MALL PKWY UNIT 567
LYNNWOOD WA
98037-8027
US

V. Phone/Fax

Practice location:
  • Phone: 425-582-5524
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT.PT.70054781
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: