| Doctor Name: | JUSTIN LANE KITCHEN |
| NPI Number: | 1972819050 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 06263 |
| Business Practice Address: | 252 E Main St Hermiston, OR - 978381840 |
| Business Phone Number: | 5417010708 |
| Business Fax Number: | 5417010710 |
| Mailing Address: | 7201 W Clearwater Ave, Suite B101 KENNEWICK |
| State: | WA |
| Postal Code: | 993361694 |
| Phone Number: | 5095440265 |
| Fax Number: | 5099871614 |
| NPI Enumeration Date: | 08/26/2010 |
| NPI Last Update Date: | 10/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 06263 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| 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 |