Provider Demographics
NPI:1073595187
Name:HAMPTON, LILIAN KRAMER (PT)
Entity Type:Individual
Prefix:
First Name:LILIAN
Middle Name:KRAMER
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14050 JUANITA DR N.E.
Mailing Address - Street 2:SUITE B
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034
Mailing Address - Country:US
Mailing Address - Phone:425-821-3775
Mailing Address - Fax:425-821-1986
Practice Address - Street 1:14050 JUANITA DR N.E.
Practice Address - Street 2:SUITE B
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034
Practice Address - Country:US
Practice Address - Phone:425-821-3775
Practice Address - Fax:425-821-1986
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2011-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00008217225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA650025686OtherRAILROAD MEDICARE
WA650025686OtherRAILROAD MEDICARE