Provider Demographics
NPI:1871877100
Name:MCCURRY, KATHRYN G (DPT)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:G
Last Name:MCCURRY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:KATHRYN
Other - Middle Name:G
Other - Last Name:MATHISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:9802 48TH DR NE
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98270-8100
Mailing Address - Country:US
Mailing Address - Phone:360-659-1279
Mailing Address - Fax:
Practice Address - Street 1:9802 48TH DR NE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98270-8100
Practice Address - Country:US
Practice Address - Phone:360-659-1279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-05
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP13458225100000X
CAPT 39010225100000X
WAPT60223154225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8925751Medicare PIN