NPI 1083218960 · live from the CMS NPI Registry
Brandi Agena
Physical Therapist in Kent, WA. National Provider Identifier 1083218960, active.
NPI record
| NPI | 1083218960 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 22415 68th Ave S, Kent, WA 98032 |
| Practice phone | 253-395-1131 |
| Mailing address | 1200 Corporate Dr Ste 400, Hoover, AL 35242 |
| Enumerated | November 23, 2020 |
| Last updated | November 23, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.