| Kintsugi Physical Therapy | |
|
17833 1st Ave S Ste A, Normandy Park, WA 98148-1713 | |
| (253) 330-8518 | |
| (253) 330-8519 |
| Full Name | Kintsugi Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 17833 1st Ave S Ste A, Normandy Park, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598300824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Andrea N Knapp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467562447 PECOS PAC ID: 7719032713 Enrollment ID: I20090826000869 |
| Provider Name | Christi P Riley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144266230 PECOS PAC ID: 1658426655 Enrollment ID: I20090826000935 |
| Provider Name | Laura A Douglas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194734236 PECOS PAC ID: 0749328094 Enrollment ID: I20091106000549 |
| Provider Name | Darrell A Keeney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477069490 PECOS PAC ID: 2567722275 Enrollment ID: I20180126002659 |
| Provider Name | Jennifer Louise Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154929537 PECOS PAC ID: 0749690725 Enrollment ID: I20201103000395 |
| Provider Name | Jacqueline Chun |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245823871 PECOS PAC ID: 3577978618 Enrollment ID: I20210223000978 |
| Provider Name | Alisa Tran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326784679 PECOS PAC ID: 5991183295 Enrollment ID: I20220526002898 |
| Mailing Address | Practice Location Address |
|---|---|
| Kintsugi Physical Therapy 1940 S Bonito Way Ste 190, Meridian, ID 83642-5618 Ph: (208) 287-9420 | Kintsugi Physical Therapy 17833 1st Ave S Ste A, Normandy Park, WA 98148-1713 Ph: (253) 330-8518 |
Amy Rose Taylor, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17623 1st Ave S Apt 119, Normandy Park, WA 98148 Phone: 206-508-5750 | |
Christi P Riley, DPT OCS ATC CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17833 1st Ave S, Normandy Park, WA 98148 Phone: 253-330-8518 | |
Ms. Laura A. Douglas, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17833 1st Ave S Ste A, Normandy Park, WA 98148 Phone: 253-330-8518 | |
Jacqueline Donna Chun, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17833 1st Ave S Ste A, Normandy Park, WA 98148 Phone: 253-330-8518 | |
Kaitlyn Thuc-quynh Nguyen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19711 1st Ave S, Normandy Park, WA 98148 Phone: 206-913-8082 | |
Alisa Tran, Physical Therapist Medicare: Medicare Enrolled Practice Location: 17833 1st Ave S Ste A, Normandy Park, WA 98148 Phone: 253-330-8518 Fax: 253-330-8519 | |
Mrs. Andrea Noel Knapp, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17833 1st Ave S Ste A, Normandy Park, WA 98148 Phone: 253-330-8518 Fax: 253-330-8519 |