Search › Washington › 225700000X
Kerry Gustafson, LMP, ATC, AT/L
NPI 1336278969 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1433 N State St
Bellingham, WA 98225 - Phone
- (360) 319-3924
- Organisation at this address
- Divergent Physical Therapy, Pllc
Pacific Chiropractic And Sports InjuryInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Also registered as
- 2255A2300X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-09-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington