Provider Demographics
NPI:1851341754
Name:BYERS, ANDREW J (MSPT)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:J
Last Name:BYERS
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2102 CARRIAGE DR. SW
Mailing Address - Street 2:SUITE B
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502
Mailing Address - Country:US
Mailing Address - Phone:360-866-0408
Mailing Address - Fax:360-866-1165
Practice Address - Street 1:2102 CARRIAGE DR. SW
Practice Address - Street 2:SUITE B
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502
Practice Address - Country:US
Practice Address - Phone:360-866-0408
Practice Address - Fax:360-866-1165
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPT01732225100000X
WAPT60149834225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI410003OtherBLUECHIP RI IND. ID #
RI007010337Medicare ID - Type UnspecifiedMEDICARE RI IND. ID #
RI410003OtherBLUECHIP RI IND. ID #