Provider Demographics
NPI:1568779619
Name:MORASKI, PAUL S (DPT)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:S
Last Name:MORASKI
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:11911 NE 1ST ST
Mailing Address - Street 2:SUITE B-202
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-3055
Mailing Address - Country:US
Mailing Address - Phone:425-214-5950
Mailing Address - Fax:425-324-2270
Practice Address - Street 1:4550 KLAHANIE DR SE
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98029-5812
Practice Address - Country:US
Practice Address - Phone:425-391-2427
Practice Address - Fax:425-392-4098
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-10
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60152914225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8894758Medicare UPIN