NPI 1669152534
Luke Colussi
Practice location
- Address
- 112 Andover Park E, Tukwila, WA 98188-2915
- Phone
- (206) 420-3967
- Mailing address
- 3815 NE 4th St APT D110, Renton, WA 98056-4152
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1669152534
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Jul 2023
- Record last updated
- 24 Jul 2023
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.