| Doctor Name: | MS. PEGGY A FUNK |
| NPI Number: | 1972626869 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S.P.T. |
| License Number: | 05008790A |
| Business Practice Address: | 1819 S Lake Stevens Rd Lake Stevens, WA - 982582060 |
| Business Phone Number: | 4253341122 |
| Business Fax Number: | |
| Mailing Address: | 2009 196th St Se Apt E302, BOTHELL |
| State: | WA |
| Postal Code: | 980128506 |
| Phone Number: | 2065956250 |
| Fax Number: | |
| NPI Enumeration Date: | 04/07/2007 |
| NPI Last Update Date: | 04/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 05008790A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| 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 |