Provider Demographics
NPI:1801554506
Name:APONIK, JOSEPH (MPT, OCS, CMPT, ATC)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:APONIK
Suffix:
Gender:M
Credentials:MPT, OCS, CMPT, ATC
Other - Prefix:
Other - First Name:JOE
Other - Middle Name:
Other - Last Name:APONIK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MPT, OCS, CMPT, ATC
Mailing Address - Street 1:11642 RIVER BEND DR
Mailing Address - Street 2:
Mailing Address - City:LEAVENWORTH
Mailing Address - State:WA
Mailing Address - Zip Code:98826-9353
Mailing Address - Country:US
Mailing Address - Phone:509-433-1505
Mailing Address - Fax:
Practice Address - Street 1:817 COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:WA
Practice Address - Zip Code:98826-1316
Practice Address - Country:US
Practice Address - Phone:509-548-3421
Practice Address - Fax:509-548-2511
Is Sole Proprietor?:No
Enumeration Date:2021-11-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2255A2300X
WA8067225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer