Gandhali Ainapure

Individual provider Active NPI Physical Therapist · Kirkland, WA

NPI 1861101313 · NPPES record last updated Feb 15, 2023

Key facts

NPI
1861101313
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT60492922 (WA)
Practice address
1002 Lake St S
Kirkland, WA 98033-6809
Phone
(425) 307-4673
NPI assigned
Nov 22, 2022
Sex
Female
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

LicenseStateTypeSpecialty
PT60492922WAMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60492922 WA Yes

Addresses

Primary practice location

1002 Lake St S
Kirkland, WA 98033-6809

Mailing address

21219 42ND Ave SE
Bothell, WA 98021-8097
Phone (909) 800-3735

Other practice location 1

14905 Bothell Everett Hwy
Mill Creek, WA 98012-5315
Phone (425) 338-1580

Other providers in Kirkland, WA

All providers in Kirkland, WA · Physical Therapist in Washington

Sources for this page

Verify at the official NPI Registry.