Healthcare Provider Details

I. General information

NPI: 1871376285
Provider Name (Legal Business Name): KATE HOVDE DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2023
Last Update Date: 08/17/2023
Certification Date: 08/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 7TH ST SE
PUYALLUP WA
98374-1105
US

IV. Provider business mailing address

7711 161ST STREET CT E
PUYALLUP WA
98375-7504
US

V. Phone/Fax

Practice location:
  • Phone: 253-848-2309
  • Fax:
Mailing address:
  • Phone: 907-802-0458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT61470885
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: