Provider Demographics
NPI:1952792566
Name:STALSBROTEN, KRISTI LYNN (DPT)
Entity Type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:LYNN
Last Name:STALSBROTEN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7021 SAND POINT WAY NE
Mailing Address - Street 2:UNIT B216
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-8101
Mailing Address - Country:US
Mailing Address - Phone:509-388-8055
Mailing Address - Fax:
Practice Address - Street 1:20214 BALLINGER WAY NE
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98155-1144
Practice Address - Country:US
Practice Address - Phone:206-361-2225
Practice Address - Fax:206-364-6556
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-18
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT 60481364225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist