Doctor Name: | MR. JOHN GORDON KINCAID |
NPI Number: | 1780888149 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 00005783 |
Business Practice Address: | 3600 Lind Avenue Sw Suite 170 Renton, WA - 98057 |
Business Phone Number: | 4256565020 |
Business Fax Number: | 4256564218 |
Mailing Address: | 17915 112th Ave Se, RENTON |
State: | WA |
Postal Code: | 98055 |
Phone Number: | 4252048519 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 00005783 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |