Healthcare Provider Details

I. General information

NPI: 1962956938
Provider Name (Legal Business Name): KIRSTEN MARIE KUYKENDALL PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2016
Last Update Date: 08/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 FREMONT AVE N STE 414
SEATTLE WA
98103-8753
US

IV. Provider business mailing address

3601 FREMONT AVE N STE 414
SEATTLE WA
98103-8753
US

V. Phone/Fax

Practice location:
  • Phone: 206-548-1522
  • Fax:
Mailing address:
  • Phone: 206-548-1522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: