Braiden Kingsford, DPT Valid NPI
Individual provider · Physical Therapist · Liberty Lake, WA
- NPI
- 1376096875
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- PT60645217 (WA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2016-08-01
- Last updated
- 2020-10-08
Practice location
21651 E Country Vista Dr
Liberty Lake, WA 99019-7708
(509) 598-9402