Provider Demographics
NPI:1316487457
Name:PAULY, KAELA ANNE (PT, DPT)
Entity type:Individual
Prefix:
First Name:KAELA
Middle Name:ANNE
Last Name:PAULY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10564 5TH AVE NE STE 405
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-7200
Mailing Address - Country:US
Mailing Address - Phone:206-672-0145
Mailing Address - Fax:855-564-1831
Practice Address - Street 1:10564 5TH AVE NE STE 405
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-7200
Practice Address - Country:US
Practice Address - Phone:206-672-0145
Practice Address - Fax:855-564-1831
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-07
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0014255225100000X
AK117153225100000X
WAPT60728384225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist