Healthcare Provider Details

I. General information

NPI: 1811058134
Provider Name (Legal Business Name): KAY FRANCES LAKEY RPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 03/24/2022
Certification Date: 03/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 ROOSEVELT WAY NE SUITE 200A
SEATTLE WA
98115-2253
US

IV. Provider business mailing address

19208 15TH AVE NW
SHORELINE WA
98177-2726
US

V. Phone/Fax

Practice location:
  • Phone: 206-523-7086
  • Fax: 206-517-5304
Mailing address:
  • Phone: 206-542-5528
  • Fax: --

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT00003878
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: