Provider Demographics
NPI:1881821304
Name:KUDRITZKI, VIRGINIA MAY (DPT)
Entity Type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:MAY
Last Name:KUDRITZKI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2811 NW 62ND ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-2513
Mailing Address - Country:US
Mailing Address - Phone:406-529-4598
Mailing Address - Fax:
Practice Address - Street 1:2811 NW 62ND ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-2513
Practice Address - Country:US
Practice Address - Phone:406-529-4598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-11
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist