Individual provider · Type 1 NPI

Nattika Detskultorn

Pediatric Physical Therapist · Issaquah, WA

NPI number 1003421280 Active

Practice location

1301 4th Ave NW Ste 100
Issaquah, WA 98027-9371

Mailing address

6604 S Bangor St
Seattle, WA 98178-2525

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XNone listed

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1003421280

Nattika Detskultorn's National Provider Identifier is 1003421280, issued on Sep 14, 2020. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Issaquah, WA. The record was last updated on Sep 14, 2020.