Provider Demographics
NPI:1144828146
Name:GILLETTE, KATHERINE (PT, DPT)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:
Last Name:GILLETTE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:STURTEVANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6704 NE 181ST ST STE 101
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028-4890
Mailing Address - Country:US
Mailing Address - Phone:425-419-4363
Mailing Address - Fax:425-419-4969
Practice Address - Street 1:6704 NE 181ST ST STE 101
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:WA
Practice Address - Zip Code:98028-4890
Practice Address - Country:US
Practice Address - Phone:425-419-4363
Practice Address - Fax:425-419-4969
Is Sole Proprietor?:No
Enumeration Date:2020-10-12
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT61098630225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist