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

Jody Gustafson

Individual provider Pediatric Physical Therapist · NPI 1053655860

Jody Gustafson is a Pediatric Physical Therapist in Bothell, Washington. Licensed in Washington. Registered with an NPI since 2012.

Licensed in
WA
In the registry since
2012

Practice location Address checks out

3330 Monte Villa Pkwy
Bothell, WA 98021-8972
Phone: (425) 408-5570
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence PT 00002619 (WA)

Record details

NPI number1053655860
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 16, 2012
Last updated in NPPESNovember 16, 2012
Mailing address19705 88th Ave Ne, Bothell, WA 98011-2121

Other providers in Bothell