Provider Demographics
NPI:1447357595
Name:GUNTER, KATIE JEAN (PTA)
Entity type:Individual
Prefix:MS
First Name:KATIE
Middle Name:JEAN
Last Name:GUNTER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:JEAN
Other - Last Name:DANILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:631 NW 50TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-3554
Mailing Address - Country:US
Mailing Address - Phone:360-920-4783
Mailing Address - Fax:
Practice Address - Street 1:4744 41ST AVE SW
Practice Address - Street 2:STE 105
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-4570
Practice Address - Country:US
Practice Address - Phone:206-933-1030
Practice Address - Fax:206-933-1032
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant