Provider Demographics
NPI:1588900823
Name:MCKAMEY, KATHERINE JAYNE (PT)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:JAYNE
Last Name:MCKAMEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8601 E B ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98445-2227
Mailing Address - Country:US
Mailing Address - Phone:253-571-6200
Mailing Address - Fax:253-571-6262
Practice Address - Street 1:8601 E B ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98445-2227
Practice Address - Country:US
Practice Address - Phone:253-571-6200
Practice Address - Fax:253-571-6262
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-13
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT000008632251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics