Provider Demographics
NPI:1699145508
Name:MCGLADREY, KELSIE ANN (PT)
Entity type:Individual
Prefix:
First Name:KELSIE
Middle Name:ANN
Last Name:MCGLADREY
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 1:18504 BETHELL WAY NE
Mailing Address - Street 2:
Mailing Address - City:BETHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011
Mailing Address - Country:US
Mailing Address - Phone:425-892-2243
Mailing Address - Fax:425-527-6948
Practice Address - Street 1:18504 BETHELL WAY NE
Practice Address - Street 2:
Practice Address - City:BETHELL
Practice Address - State:WA
Practice Address - Zip Code:98011
Practice Address - Country:US
Practice Address - Phone:425-892-2243
Practice Address - Fax:425-527-6948
Is Sole Proprietor?:No
Enumeration Date:2015-10-05
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60548800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist