Provider Demographics
NPI:1962831495
Name:CARTER, KRISTI (MPT)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1058 E MERCER ST
Mailing Address - Street 2:RM 214
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-5032
Mailing Address - Country:US
Mailing Address - Phone:206-252-3052
Mailing Address - Fax:
Practice Address - Street 1:1058 E MERCER ST
Practice Address - Street 2:RM 214
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-5032
Practice Address - Country:US
Practice Address - Phone:206-252-3052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-05
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT602981532251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics