=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073595187
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LILIAN KRAMER HAMPTON PT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/15/2005
-----------------------------------------------------
Last Update Date | 07/27/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 14050 JUANITA DR N.E. SUITE B
-----------------------------------------------------
City | KIRKLAND
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98034
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-821-3775
-----------------------------------------------------
Fax | 425-821-1986
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14050 JUANITA DR N.E. SUITE B
-----------------------------------------------------
City | KIRKLAND
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98034
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-821-3775
-----------------------------------------------------
Fax | 425-821-1986
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | PT00008217
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------