LAURA LYNN KETTEL (DPT) – Physical Therapist, NPI 1194244889

LAURA LYNN KETTEL (DPT) is a healthcare provider. based in Fircrest, Washington. specializing in Physical Therapist. They hold the professional credentials DPT. The NPI Number for LAURA LYNN KETTEL (DPT) is 1194244889

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
LAURA LYNN KETTEL (DPT)
NPI
1194244889
Phone
(951) 696-9353
Address
4040 ORCHARD ST W STE 100
Enumeration Date
13 September 2017
Last Update Date
16 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3602977050
Graduation Year
2017 (9 years ago)
PAC ID
7113291451
Group Practice PAC ID
6507762333
Professional Enrollment ID
I20170925003010
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:8State licenses:0Digital endpointsOther names

Provider Addresses for LAURA LYNN KETTEL (DPT)

  • 4040 ORCHARD ST W STE 100

    FIRCREST, WA 984666610

    Phone: (951) 696-9353

    Fax: (951) 973-7216

    Type: Mailing

  • 34617 11TH PL S STE 201

    FEDERAL WAY, WA 980038706

    Phone: (253) 815-1117

    Fax: (253) 815-1107

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98466)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507762333View full group profile
NameSpecialtyState
-VA
Physical Therapist In Private PracticeWA
-WA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
-WA
Physical Therapist In Private PracticeCA
Occupational Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

What unique ID ties claims to LAURA LYNN KETTEL (DPT)?
NPI 1194244889 is assigned to LAURA LYNN KETTEL (DPT) under the national enumeration system.
Is LAURA LYNN KETTEL (DPT) active in the national directory?
LAURA LYNN KETTEL (DPT)'s public NPI profile is in an active state.
What does LAURA LYNN KETTEL (DPT) treat or focus on?
Patients typically see LAURA LYNN KETTEL (DPT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for LAURA LYNN KETTEL (DPT)?
We surface Fircrest, Washington for LAURA LYNN KETTEL (DPT) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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