Provider Demographics
NPI:1184899635
Name:CROSIER, BRIAN DANIEL (PT)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:DANIEL
Last Name:CROSIER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2710 S KING ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-2446
Mailing Address - Country:US
Mailing Address - Phone:206-659-6359
Mailing Address - Fax:
Practice Address - Street 1:4957 LAKEMONT BLVD SE
Practice Address - Street 2:STE. C-3
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-7801
Practice Address - Country:US
Practice Address - Phone:425-401-8406
Practice Address - Fax:425-401-8458
Is Sole Proprietor?:No
Enumeration Date:2008-04-25
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60014182225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAP01106212OtherRR MEDICARE
WA1184899635Medicaid
WA1184899635Medicaid
WAP01106212OtherRR MEDICARE