Healthcare Provider Details

I. General information

NPI: 1952895989
Provider Name (Legal Business Name): HEATHER KALAFARSKI DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2018
Last Update Date: 02/28/2022
Certification Date: 02/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13215 SE 240TH ST STE D
KENT WA
98042-5120
US

IV. Provider business mailing address

8011 112TH STREET CT E
PUYALLUP WA
98373-7814
US

V. Phone/Fax

Practice location:
  • Phone: 253-631-3026
  • Fax: 253-631-3899
Mailing address:
  • Phone: 406-756-0134
  • Fax: 406-300-1612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: