Provider Demographics
NPI:1538143565
Name:KATO, TERESA (PT)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:KATO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11481 SW HALL BV STE 201
Mailing Address - Street 2:THERAPEUTIC ASSOCIATES INC
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97223-8403
Mailing Address - Country:US
Mailing Address - Phone:800-219-8835
Mailing Address - Fax:503-443-1402
Practice Address - Street 1:4701 41ST AVE SW STE 100
Practice Address - Street 2:WEST SEATTLE PHYSICAL THERAPY
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98032-4597
Practice Address - Country:US
Practice Address - Phone:206-932-8363
Practice Address - Fax:205-932-4973
Is Sole Proprietor?:No
Enumeration Date:2005-12-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAPT00006828225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7046626Medicaid
WA7046626Medicaid