Provider Demographics
NPI:1801108246
Name:FIELD, KERRY LEANN (DPT)
Entity type:Individual
Prefix:MISS
First Name:KERRY
Middle Name:LEANN
Last Name:FIELD
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KERRY
Other - Middle Name:LEANNE
Other - Last Name:MCFARLANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1 LAKE BELLEVUE DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-2417
Mailing Address - Country:US
Mailing Address - Phone:425-462-4330
Mailing Address - Fax:425-462-4335
Practice Address - Street 1:14100 SE 36TH ST STE 210
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-1657
Practice Address - Country:US
Practice Address - Phone:425-653-7100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-13
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60160903225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAPT60160903OtherPT LICENSE