Provider Demographics
NPI:1174663058
Name:HUEHNERGARTH, ROSEMARY (PT ASST)
Entity Type:Individual
Prefix:MRS
First Name:ROSEMARY
Middle Name:
Last Name:HUEHNERGARTH
Suffix:
Gender:F
Credentials:PT ASST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1831 WETMORE AVE
Mailing Address - Street 2:#203
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-5615
Mailing Address - Country:US
Mailing Address - Phone:425-259-9385
Mailing Address - Fax:
Practice Address - Street 1:1321 COLBY AVE.
Practice Address - Street 2:PROVIDENCE MEDICAL CENTER
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98206-1147
Practice Address - Country:US
Practice Address - Phone:425-261-3825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1040225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant