Winter Fain Wildt-Bailey, PT
Physical Therapist in Renton, WA. Individual provider (NPI-1).
NPI number1164052171
StatusActive
Last updated in NPPESJan 27, 2020
Details
- NPI
- 1164052171
- Entity type
- Individual (NPI-1)
- Name
- Winter Fain Wildt-Bailey
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 17, 2020
- Certification date
- Jan 27, 2020
- Last updated
- Jan 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT60990566 | WA | Yes |
Practice location
601 S Carr Rd Ste 301Renton, WA 98055-5866
Phone 206-621-4080
Mailing address
601 S Carr Rd Ste 301Renton, WA 98055-5866
Phone 425-227-3700
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