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NPI Code Detail

MEDICARE: KRISTEN NICOLE MUNDY BS, PTA

MEDICARE: KRISTEN NICOLE MUNDY BS, PTA
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
1225200000XPhysical Therapy AssistantP160499239WA

General Provider Information

NPI Number : 1548113970
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN NICOLE MUNDY BS, PTA
Provider Business Mailing Address
First Line : 1314 AUBURN WAY N
Second Line :
City : AUBURN
State : WA
Zip : 98002-4109
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1314 AUBURN WAY N
Second Line :
City : AUBURN
State : WA
Zip : 98002-4109
Country : US
Telephone Number : 253-237-3405
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2026
Last Update Date : 02/16/2026

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