Whalio Doctors

NPI 1003334871

Kyle Brandon Mark, PTDPT

Practitioner Physical Therapist Issaquah, WA

Practice location

Address
510 8th Ave NE Suite 340, Issaquah, WA 98029-5436
Phone
(425) 313-3055
Fax
(425) 313-3051
Mailing address
805 Madison Street Suite 901, Seattle, WA 98104-1172

Registered specialties

Physical Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT60750168 (WA)

Registry record

NPI
1003334871
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Aug 2017
Record last updated
25 Sep 2017

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.