Provider Demographics
NPI:1851689863
Name:KINSLEY, SARAH FOSS (DPT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:FOSS
Last Name:KINSLEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ANDREA
Other - Last Name:FOSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:5704 E LAKE SAMMAMISH PKWY SE
Mailing Address - Street 2:STE #101
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98029
Mailing Address - Country:US
Mailing Address - Phone:425-270-3323
Mailing Address - Fax:425-270-3326
Practice Address - Street 1:5704 E LAKE SAMMAMISH PKWY SE
Practice Address - Street 2:STE #101
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98029
Practice Address - Country:US
Practice Address - Phone:425-270-3323
Practice Address - Fax:425-270-3326
Is Sole Proprietor?:No
Enumeration Date:2011-07-12
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60214148225100000X
WA272539605225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8905345Medicare PIN
WAG8905345Medicare UPIN