Provider Demographics
NPI:1861024630
Name:SELLERS, NATALEE (DPT)
Entity Type:Individual
Prefix:
First Name:NATALEE
Middle Name:
Last Name:SELLERS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10523 NE 144TH ST
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-5250
Mailing Address - Country:US
Mailing Address - Phone:360-510-9316
Mailing Address - Fax:
Practice Address - Street 1:22910 BOTHELL EVERETT HWY STE 107
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98021-9327
Practice Address - Country:US
Practice Address - Phone:425-686-7656
Practice Address - Fax:425-341-9035
Is Sole Proprietor?:No
Enumeration Date:2020-02-10
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60989751225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist