Provider Demographics
NPI:1629741822
Name:KENNEDY, DANIKA TAI-ZIEMER (DPT)
Entity type:Individual
Prefix:DR
First Name:DANIKA
Middle Name:TAI-ZIEMER
Last Name:KENNEDY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:DANIKA
Other - Middle Name:TAI
Other - Last Name:ZIEMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:800 NE 67TH ST APT 317
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-5861
Mailing Address - Country:US
Mailing Address - Phone:949-422-9813
Mailing Address - Fax:
Practice Address - Street 1:11700 MUKILTEO SPEEDWAY STE 503
Practice Address - Street 2:
Practice Address - City:MUKILTEO
Practice Address - State:WA
Practice Address - Zip Code:98275-5444
Practice Address - Country:US
Practice Address - Phone:425-349-9692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist