Provider Demographics
NPI:1255424032
Name:MCPHEE, BRYCE JOSEPH (MPT)
Entity type:Individual
Prefix:MR
First Name:BRYCE
Middle Name:JOSEPH
Last Name:MCPHEE
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15410 AMBAUM BLVD. S.W.
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166-1437
Mailing Address - Country:US
Mailing Address - Phone:206-248-3414
Mailing Address - Fax:206-244-6755
Practice Address - Street 1:15410 AMBAUM BLVD. S.W.
Practice Address - Street 2:SUITE 103
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-1437
Practice Address - Country:US
Practice Address - Phone:206-248-3414
Practice Address - Fax:206-244-6755
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT000053752251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7042575Medicaid
WA7042575Medicaid