Provider Demographics
NPI:1821364134
Name:HARVEY, KIRSTEN DENISE (AT,C AT/L)
Entity Type:Individual
Prefix:MS
First Name:KIRSTEN
Middle Name:DENISE
Last Name:HARVEY
Suffix:
Gender:F
Credentials:AT,C AT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4926 DOVER ST
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-1673
Mailing Address - Country:US
Mailing Address - Phone:425-238-2310
Mailing Address - Fax:
Practice Address - Street 1:4926 DOVER ST
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-1673
Practice Address - Country:US
Practice Address - Phone:425-238-2310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-30
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer