Provider Demographics
NPI:1891166567
Name:LEVESQUE, VALERIE M (DPT)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:M
Last Name:LEVESQUE
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 1:1560 140TH AVE NE
Mailing Address - Street 2:#100
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-4571
Mailing Address - Country:US
Mailing Address - Phone:425-726-2475
Mailing Address - Fax:
Practice Address - Street 1:1560 140TH AVE NE
Practice Address - Street 2:#100
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-4571
Practice Address - Country:US
Practice Address - Phone:425-726-2475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-07
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60577195225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist