Provider Demographics
NPI:1790372282
Name:PARANYUK, YURIY (PT)
Entity Type:Individual
Prefix:
First Name:YURIY
Middle Name:
Last Name:PARANYUK
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3555 27TH PL W APT 323
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98199-2170
Mailing Address - Country:US
Mailing Address - Phone:646-706-3734
Mailing Address - Fax:
Practice Address - Street 1:9725 3RD AVE NE STE 100
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-2049
Practice Address - Country:US
Practice Address - Phone:206-706-7500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-30
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046613225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist