Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Eileen Gwendolyn Petrie, CDPT

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1316572829

Eileen Gwendolyn Petrie, CDPT is a Student in an Organized Health Care Education/Training Program in Federal Way, Washington. Licensed in Washington. Registered with an NPI since 2020.

Licensed in
WA
In the registry since
2020
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Practice location Address checks out

30620 Pacific Hwy S Ste 107
Federal Way, WA 98003-4888
Phone: (253) 941-7555
Fax: (253) 941-0652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence CO60371115 (WA)

Record details

NPI number1316572829
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDPT
Sole proprietorNo
NPI enumeratedMarch 4, 2020
Last updated in NPPESMarch 4, 2020
Certification dateMarch 4, 2020

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