Provider Demographics
NPI:1720038193
Name:SEALEY, DENNIS G (PT, ATC)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:G
Last Name:SEALEY
Suffix:
Gender:M
Credentials:PT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13120 NE 70TH PL, SUITE 3
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033
Mailing Address - Country:US
Mailing Address - Phone:425-889-0776
Mailing Address - Fax:425-889-0857
Practice Address - Street 1:13120 NE 70TH PL
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-8570
Practice Address - Country:US
Practice Address - Phone:425-889-0776
Practice Address - Fax:425-889-0857
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00000788225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA142739OtherDEPT OF L&I
WA142739OtherDEPT OF L&I