Provider Demographics
NPI:1053486886
Name:NEWTON, TIMOTHY A (MPT ATC)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:A
Last Name:NEWTON
Suffix:
Gender:M
Credentials:MPT ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4433 47TH AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-1410
Mailing Address - Country:US
Mailing Address - Phone:206-962-1795
Mailing Address - Fax:
Practice Address - Street 1:900 S 336TH ST
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-6311
Practice Address - Country:US
Practice Address - Phone:253-237-0611
Practice Address - Fax:253-237-0606
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00008761225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist