Provider Demographics
NPI:1700191681
Name:IATROS, INC
Entity Type:Organization
Organization Name:IATROS, INC
Other - Org Name:IATROS THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:LLOYD
Authorized Official - Last Name:BLEAU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-979-9087
Mailing Address - Street 1:6900 37TH AVE S #251
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-6425
Mailing Address - Country:US
Mailing Address - Phone:206-979-9087
Mailing Address - Fax:206-538-2733
Practice Address - Street 1:6900 37TH AVE S #251
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-6425
Practice Address - Country:US
Practice Address - Phone:206-979-9087
Practice Address - Fax:206-538-2733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-16
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy