| Doctor Name: | KAITLIN WAGNER |
| NPI Number: | 1871869180 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | PT60320481 |
| Business Practice Address: | 33650 6th Ave S Ste 100 Federal Way, WA - 980036754 |
| Business Phone Number: | 2539423308 |
| Business Fax Number: | |
| Mailing Address: | 7438 Corliss Ave N, SEATTLE |
| State: | WA |
| Postal Code: | 981034933 |
| Phone Number: | 6128162716 |
| Fax Number: | |
| NPI Enumeration Date: | 03/30/2012 |
| NPI Last Update Date: | 07/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT60320481 |
| 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 |