Provider Demographics
NPI:1326106626
Name:ARIAS, CLYDE A (MPT)
Entity Type:Individual
Prefix:MR
First Name:CLYDE
Middle Name:A
Last Name:ARIAS
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:MR
Other - First Name:CLAUDIO
Other - Middle Name:A
Other - Last Name:ARIAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:2730 118 AVE SE
Mailing Address - Street 2:301
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16261 REDMOND WAY STE 100
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3833
Practice Address - Country:US
Practice Address - Phone:425-881-3001
Practice Address - Fax:425-881-3585
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00008299225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist