Provider Demographics
NPI:1780074716
Name:ANDREWS, ADRIAN PERRY ARNOT (PTA)
Entity type:Individual
Prefix:
First Name:ADRIAN
Middle Name:PERRY ARNOT
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 ALOHA ST APT 9
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-3763
Mailing Address - Country:US
Mailing Address - Phone:509-251-6250
Mailing Address - Fax:
Practice Address - Street 1:11 W ALOHA ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-3743
Practice Address - Country:US
Practice Address - Phone:206-281-5745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-29
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAP160351271225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant