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General NPI Number Information
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NPI Number | 1962643965
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Entity Type | Organization
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Legal Business Name | REDMOND PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 03/20/2009
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 12911 120TH AVE NE STE F120
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City | KIRKLAND
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State | WA
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Zip | 98034-3025
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Country | US
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Telephone | 425-305-2940
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Fax | 425-881-3585
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Provider Business Mailing Address
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Address Line | 16261 REDMOND WAY STE 100
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City | REDMOND
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State | WA
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Zip | 98052-3833
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Country | US
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Telephone | 425-881-3001
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Fax | 425-881-3585
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KENNETH CRINKLAW
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Credential | MSPT, OCS
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Telephone | 425-881-3001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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