Provider Demographics
NPI:1184893638
Name:QUICK, JUNE BROOKS (PT)
Entity type:Individual
Prefix:
First Name:JUNE
Middle Name:BROOKS
Last Name:QUICK
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JUNE
Other - Middle Name:DIANE
Other - Last Name:BROOKS-ROBBINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1188 106TH AVE NE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-8612
Mailing Address - Country:US
Mailing Address - Phone:425-455-2630
Mailing Address - Fax:425-451-4390
Practice Address - Street 1:4220 HOYT AVE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-2317
Practice Address - Country:US
Practice Address - Phone:425-454-4864
Practice Address - Fax:425-646-3901
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-28
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH5200174400000X
WAPT00002525225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8914736Medicare UPIN