Nattika Detskultorn, | |
1301 4th Ave Nw Ste 100, Issaquah, WA 98027-9371 | |
(425) 392-7989 | |
Not Available |
Full Name | Nattika Detskultorn |
---|---|
Gender | Female |
Speciality | Physical Therapist - Pediatrics |
Location | 1301 4th Ave Nw Ste 100, Issaquah, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003421280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251P0200X | Physical Therapist - Pediatrics | (* (Not Available)) | Primary |
Provider Name | Seattle Children's Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003319500 PECOS PAC ID: 9032021050 Enrollment ID: O20031211000532 |
Mailing Address | Practice Location Address |
---|---|
Nattika Detskultorn, 6604 S Bangor St, Seattle, WA 98178-2525 Ph: (503) 432-6642 | Nattika Detskultorn, 1301 4th Ave Nw Ste 100, Issaquah, WA 98027-9371 Ph: (425) 392-7989 |
Beth Simon Crabtree, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 Nw Juniper St, Ste 104, Issaquah, WA 98027 Phone: 425-392-7989 Fax: 425-391-2554 | |
Kyle Brandon Mark, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 510 8th Ave Ne Suite 340, Issaquah, WA 98029 Phone: 425-313-3055 Fax: 425-313-3051 | |
Jhansi Juluri, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 405 Nw Gilman Blvd Ste 200, Issaquah, WA 98027 Phone: 425-392-6804 Fax: 425-392-6805 | |
Rebekah D Ley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6520 226th Pl Se, Suite 205, Issaquah, WA 98027 Phone: 425-392-8611 Fax: 425-392-9012 | |
Kevin Michael Traupmann, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 510 8th Ave Ne Ste 340, Issaquah, WA 98029 Phone: 425-313-3055 Fax: 425-313-3051 | |
Ms. Cathy A. Olson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 Nw Gilman Blvd, Suite A, Issaquah, WA 98027 Phone: 425-313-3055 Fax: 425-313-3051 |