Provider Demographics
NPI:1194890053
Name:ZWAR, KURT FREDERICK (PT)
Entity type:Individual
Prefix:MR
First Name:KURT
Middle Name:FREDERICK
Last Name:ZWAR
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3954 NE 115 ST
Mailing Address - Street 2:PHOENIX PHYSICAL THERAPY
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-5745
Mailing Address - Country:US
Mailing Address - Phone:425-483-8786
Mailing Address - Fax:
Practice Address - Street 1:3954 NE 115 ST
Practice Address - Street 2:PHOENIX PHYSICAL THERAPY
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-5745
Practice Address - Country:US
Practice Address - Phone:425-483-8786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00002886225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist