Provider Demographics
NPI:1689362824
Name:DAVIS, CONOR MILEY (ATC)
Entity Type:Individual
Prefix:MR
First Name:CONOR
Middle Name:MILEY
Last Name:DAVIS
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6501 LAKE WASHINGTON BLVD NE APT 202
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-3536
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 CHUNG SHAN RD
Practice Address - Street 2:
Practice Address - City:TAIPEI
Practice Address - State:SHILIN
Practice Address - Zip Code:11152
Practice Address - Country:TW
Practice Address - Phone:206-549-9107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer