Provider Demographics
NPI:1639607849
Name:KATZ-KUNDE, SHARON LYNN (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:LYNN
Last Name:KATZ-KUNDE
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:LYNN
Other - Last Name:KATZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:316 E MCLEOD RD STE 101
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-6491
Mailing Address - Country:US
Mailing Address - Phone:360-734-5410
Mailing Address - Fax:
Practice Address - Street 1:317 E MCLEOD RD #101
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226
Practice Address - Country:US
Practice Address - Phone:360-734-5410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-01
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3717225100000X
WAPT60548084225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist