Provider Demographics
NPI:1093757650
Name:BRAND, DOUGLAS K (PT)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:K
Last Name:BRAND
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11400 SE 6TH ST
Mailing Address - Street 2:SUITE 130
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-6423
Mailing Address - Country:US
Mailing Address - Phone:425-455-0699
Mailing Address - Fax:425-455-1541
Practice Address - Street 1:11400 SE 6TH ST
Practice Address - Street 2:SUITE 130
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-6423
Practice Address - Country:US
Practice Address - Phone:425-455-0699
Practice Address - Fax:425-455-1541
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAPT00002126225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist