NPI 1003421280
Nattika Detskultorn
Practice location
- Address
- 1301 4th Ave NW STE 100, Issaquah, WA 98027-9371
- Phone
- (425) 392-7989
- Mailing address
- 6604 S Bangor St, Seattle, WA 98178-2525
Registered specialties
Pediatric Physical Therapist
Primary
Registry record
- NPI
- 1003421280
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 14 Sep 2020
- Record last updated
- 14 Sep 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.