225700000X
Bellevue, WA
Specialty
225700000X
Credential
DPT, CMT
NPI
1487882007
11511 Ne 10th St, Bellevue, WA 98004
(425) 774-1538Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 225700000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 225700000X