Michael Stuart Kenniston, PHYSICAL THERAPIST

NPI #1205494051 in Snohomish, Washington

Provider Information

NPI Number: 1205494051
Entity Type: Individual
Name: Michael Stuart Kenniston, PHYSICAL THERAPIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PHYSICAL THERAPIST
Enumeration Date: Jun 5, 2019
Last Updated: Jun 5, 2019

Practice Location

Address: 800 10TH ST
City: Snohomish
State: Washington
ZIP Code: 98290-2131
Phone: (360) 568-3161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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