Individual provider · Type 1 NPI

Jody Gustafson

Pediatric Physical Therapist · Bothell, WA

NPI number 1053655860 Active

Practice location

3330 Monte Villa Pkwy
Bothell, WA 98021-8972

Call (425) 408-5570 Map

Mailing address

19705 88th Ave NE
Bothell, WA 98011-2121

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XPT 00002619 (WA)

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…

134 other providers at this address

Other pediatric physical therapist providers in Bothell

See all in Bothell →

About NPI 1053655860

Jody Gustafson's National Provider Identifier is 1053655860, issued on Nov 16, 2012. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Bothell, WA. The record was last updated on Nov 16, 2012.