Provider Demographics
NPI:1568181857
Name:BROWNAULT, DUNCAN (DPT)
Entity Type:Individual
Prefix:
First Name:DUNCAN
Middle Name:
Last Name:BROWNAULT
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:DUNCAN
Other - Middle Name:
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6050 TACOMA MALL BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98409-6828
Mailing Address - Country:US
Mailing Address - Phone:253-581-5200
Mailing Address - Fax:
Practice Address - Street 1:10141 224TH ST E
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:WA
Practice Address - Zip Code:98338-9190
Practice Address - Country:US
Practice Address - Phone:253-446-6982
Practice Address - Fax:253-904-8184
Is Sole Proprietor?:No
Enumeration Date:2022-08-22
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT61295893225100000X
IN05014631A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist