Most Relevant Information
Provider Data
| NPI Number: | 1003025701 |
| Provider Name: | KAY WIEBEN |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT00002941 |
Most Important Dates
| Enumeration Date: | 05/21/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1035 116TH AVE NE
BELLEVUE
WA
980044604
Practice Location Phone/Fax
| Phone: | 4256885860 |
| Fax: |
Provider Mailing Location
15208 22ND PL W
LYNNWOOD
WA
980876305
Provider Mailing Phone/Fax
| Phone: | 4257453298 |
| Fax: |