Provider Demographics
NPI:1972188175
Name:WASHINGTON PHYSICAL THERAPY SPECIALIST
Entity Type:Organization
Organization Name:WASHINGTON PHYSICAL THERAPY SPECIALIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:YAPYAPAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:206-499-4210
Mailing Address - Street 1:5201 42ND AVE S APT 104
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-6156
Mailing Address - Country:US
Mailing Address - Phone:206-499-4210
Mailing Address - Fax:
Practice Address - Street 1:27715 MILITARY RD. S.
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-9803
Practice Address - Country:US
Practice Address - Phone:206-499-4210
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-10
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy