Provider Demographics
NPI:1558490946
Name:BJORNSON, KRISTIE FAY (PHD, PT, MS)
Entity Type:Individual
Prefix:DR
First Name:KRISTIE
Middle Name:FAY
Last Name:BJORNSON
Suffix:
Gender:F
Credentials:PHD, PT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3821 NE 93RD ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-3752
Mailing Address - Country:US
Mailing Address - Phone:425-830-4188
Mailing Address - Fax:
Practice Address - Street 1:3821 NE 93RD ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-3752
Practice Address - Country:US
Practice Address - Phone:425-830-4188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-03
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00003004225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist