Provider Demographics
NPI:1184757932
Name:KERTSON, ANNE E (PT, DPT, OCS)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:E
Last Name:KERTSON
Suffix:
Gender:F
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37624 SE FURY ST
Mailing Address - Street 2:C201
Mailing Address - City:SNOQUALMIE
Mailing Address - State:WA
Mailing Address - Zip Code:98065-9680
Mailing Address - Country:US
Mailing Address - Phone:425-292-0223
Mailing Address - Fax:425-292-9225
Practice Address - Street 1:37624 SE FURY ST
Practice Address - Street 2:C201
Practice Address - City:SNOQUALMIE
Practice Address - State:WA
Practice Address - Zip Code:98065-9680
Practice Address - Country:US
Practice Address - Phone:425-292-0223
Practice Address - Fax:425-292-9225
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00009462225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist