Kevin Constantin, DPT
Individual provider Active NPI Physical Therapist · Colfax, WA
NPI 1679002893 · NPPES record last updated Jun 9, 2017
Key facts
- NPI
- 1679002893
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT60665011 (WA)
- Practice address
- 1150 W Fairview St
Colfax, WA 99111-9580 - Phone
- (509) 397-4603
- Fax
- (509) 397-2441
- NPI assigned
- Jun 9, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5185 | ID | MD | Physical Therapist |
| PT60665011 | WA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5185 | ID | |
| Physical Therapist | 225100000X | PT60665011 | WA | Yes |
Addresses
Primary practice location
1150 W Fairview St
Colfax, WA 99111-9580
Mailing address
260 NW Golden Hills Dr SPC 35
Pullman, WA 99163-9767
Other providers in Colfax, WA
- Gary M. Candelaria
- Alison Lee Carriger
- Colfax of Cascadia, LLC
- Colfax School District
- Brent Logan Conrad
- Council on Aging & Human Services
- Council on Aging & Human Services
- County of Whitman
- Deacon'S Medical Equipment
- Dr Healthy Foot PLLC
All providers in Colfax, WA · Physical Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.