Provider Demographics
NPI:1568095644
Name:TOUCHETTE, WILLIAM COREY (DPT)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:COREY
Last Name:TOUCHETTE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 NE HOSTMARK ST STE 100E
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-7337
Mailing Address - Country:US
Mailing Address - Phone:360-598-2722
Mailing Address - Fax:360-598-2723
Practice Address - Street 1:1040 NE HOSTMARK ST STE 100E
Practice Address - Street 2:
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370
Practice Address - Country:US
Practice Address - Phone:360-598-2722
Practice Address - Fax:360-598-2723
Is Sole Proprietor?:No
Enumeration Date:2020-02-18
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT61025422225100000X, 2251S0007X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic