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Jody Gustafson
Pediatric Physical Therapist in Bothell, Washington
NPI 1053655860

Jody Gustafson is a Pediatric Physical Therapist based in Bothell, WA and is specialized in Pediatrics. Jody Gustafson practices in Bothell, WA. The NPI Number for Jody Gustafson is 1053655860 and holds a License No. PT 00002619 (Washington).

The current practice location address for Jody Gustafson is 3330 Monte Villa Pkwy, Bothell, WA and can be reached out via phone at 425-408-5570. You can also correspond with Jody Gustafson through the mailing address at 19705 88TH AVE NE, BOTHELL, WA - 98011-2121 (mailing address contact number: ).

Location: 3330 Monte Villa Pkwy, Bothell, WA, 98011-2121
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053655860
Provider Name
Jody Gustafson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3330 Monte Villa Pkwy, Bothell, WA, 98011-2121
Phone Number
425-408-5570
Fax Number
Provider Enumeration Date
11/16/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3330 Monte Villa Pkwy
City
Bothell
State
Washington
Zip
98021-8972
Phone Number
425-408-5570
Fax Number
person
Provider Business Mailing Address Details
Address
3330 Monte Villa Pkwy
City
Bothell
State
Washington
Zip
98021-8972
Phone Number
425-408-5570
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
PT 00002619 (Washington)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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