Provider Demographics
NPI:1972361806
Name:SOADY, KATHRYN ANN (DPT)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:ANN
Last Name:SOADY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KATHY
Other - Middle Name:ANN
Other - Last Name:MONUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, PTA
Mailing Address - Street 1:2808 S MAN O WAR LN
Mailing Address - Street 2:
Mailing Address - City:VERADALE
Mailing Address - State:WA
Mailing Address - Zip Code:99037-8873
Mailing Address - Country:US
Mailing Address - Phone:509-998-4646
Mailing Address - Fax:
Practice Address - Street 1:1215 N MCDONALD RD STE 102
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-1557
Practice Address - Country:US
Practice Address - Phone:509-516-2880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00007685225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist