Provider Demographics
NPI:1770997413
Name:KAKAR, KAITLYN (PT)
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:
Last Name:KAKAR
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 1:13022 NE 70TH DR
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-8302
Mailing Address - Country:US
Mailing Address - Phone:636-346-9374
Mailing Address - Fax:
Practice Address - Street 1:10415 NE 37TH CIR STE 3
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-7924
Practice Address - Country:US
Practice Address - Phone:646-436-9374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-19
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ11459225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist