Provider Demographics
NPI:1346946407
Name:THE KEGEL COMMUNITY
Entity Type:Organization
Organization Name:THE KEGEL COMMUNITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:DR
Authorized Official - First Name:KAELI
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:GOCKEL
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:425-270-7099
Mailing Address - Street 1:103 MAIN AVE S STE 208
Mailing Address - Street 2:
Mailing Address - City:NORTH BEND
Mailing Address - State:WA
Mailing Address - Zip Code:98045-8197
Mailing Address - Country:US
Mailing Address - Phone:425-270-7099
Mailing Address - Fax:
Practice Address - Street 1:103 MAIN AVE S STE 208
Practice Address - Street 2:
Practice Address - City:NORTH BEND
Practice Address - State:WA
Practice Address - Zip Code:98045-8197
Practice Address - Country:US
Practice Address - Phone:425-270-7099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy