Most Relevant Information
Provider Data
| NPI Number: | 1003498098 |
| Provider Name: | HEATHER HAGERUP |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/28/2021 |
| Last Updated: | 04/28/2021 |
Provider Practice Location
26001 BARBER CUT OFF RD NE STE C1
KINGSTON
WA
983468484
Practice Location Phone/Fax
| Phone: | 3602977050 |
| Fax: |
Provider Mailing Location
2400 NW MYHRE RD STE 101
SILVERDALE
WA
983837672
Provider Mailing Phone/Fax
| Phone: | 3605983764 |
| Fax: |