Provider Demographics
NPI:1841683083
Name:YOUNG, REBECCA A (DPT)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:A
Last Name:YOUNG
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2815 EASTLAKE AVE
Mailing Address - Street 2:#170
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-3086
Mailing Address - Country:US
Mailing Address - Phone:206-322-2842
Mailing Address - Fax:206-322-6232
Practice Address - Street 1:2815 EASTLAKE AVE E
Practice Address - Street 2:#170
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-3086
Practice Address - Country:US
Practice Address - Phone:206-322-2842
Practice Address - Fax:206-322-6232
Is Sole Proprietor?:No
Enumeration Date:2015-03-12
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAPT60531232225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8942396Medicare PIN