Provider Demographics
NPI:1679979272
Name:YURS, SHARON BARBARA (DPT)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:BARBARA
Last Name:YURS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:BARBARA
Other - Last Name:RIGDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1222 NE 91ST ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-3133
Mailing Address - Country:US
Mailing Address - Phone:928-899-8606
Mailing Address - Fax:
Practice Address - Street 1:2930 MAPLE ST
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-3832
Practice Address - Country:US
Practice Address - Phone:425-261-1780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-08
Last Update Date:2014-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60475626225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist