Provider Demographics
NPI:1720150394
Name:HASHIMOTO-MCKEWEN, MERILEA MIE (DPT)
Entity Type:Individual
Prefix:
First Name:MERILEA
Middle Name:MIE
Last Name:HASHIMOTO-MCKEWEN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MERI
Other - Middle Name:MIE
Other - Last Name:HASHIMOTO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3723 S 7TH ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-2105
Mailing Address - Country:US
Mailing Address - Phone:253-759-2463
Mailing Address - Fax:
Practice Address - Street 1:35535 6TH PLACE SW
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98023
Practice Address - Country:US
Practice Address - Phone:253-874-5445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00006706225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA50-6538AMedicare ID - Type Unspecified