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NPI Code Detail

MEDICARE: KATHRYN MABEL HAHN PHYSICAL THERAPIST

MEDICARE:   KATHRYN MABEL HAHN  PHYSICAL THERAPIST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT00003168WA
2225100000XPhysical Therapist10730-24WI
3225100000XPhysical TherapistIL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295719698
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN MABEL HAHN PHYSICAL THERAPIST
Provider Business Mailing Address
First Line : 11481 SW HALL BLVD
Second Line : THERAPEUTIC ASSOCIATES INC STE 201
City : PORTLAND
State : OR
Zip : 97223-8403
Country : US
Telephone Number : 800-219-8835
Fax Number : 503-443-1402
Provider Business Practice Location Address
First Line : 2611 NE 125TH ST
Second Line : TAI NORTHLAKE PHYSICAL THERAPY STE 140
City : SEATTLE
State : WA
Zip : 98125-4357
Country : US
Telephone Number : 206-361-4745
Fax Number : 206-361-4877
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2005
Last Update Date : 09/19/2007

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Directions to “ KATHRYN MABEL HAHN PHYSICAL THERAPIST” Practice Location

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