NPI 1003236274

Mike B Hearron, DPT

Practitioner Physical Therapist Bellevue, WA

Practice location

Address: 1188 106th Ave NE Suite 100, Bellevue, WA 98004-8612
Phone: (425) 455-2630
Fax: (425) 451-4390
Mailing address: 790 Remington Blvd, Bolingbrook, IL 60440-4909

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT60461336 (WA)

Other Physical Therapist providers in Washington →

Registry record

NPI: 1003236274
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Apr 2014
Record last updated: 12 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.