Provider Demographics
NPI:1992836944
Name:KANE, MARGARET M (PT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:M
Last Name:KANE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MEG
Other - Middle Name:M
Other - Last Name:KANE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:14777 NE 40TH ST
Mailing Address - Street 2:207
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-3300
Mailing Address - Country:US
Mailing Address - Phone:425-883-0273
Mailing Address - Fax:425-883-0002
Practice Address - Street 1:14777 NE 40TH ST
Practice Address - Street 2:207
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-3300
Practice Address - Country:US
Practice Address - Phone:425-883-0273
Practice Address - Fax:425-883-0002
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT5449225100000X
WALH60633701101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health