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Kyle Brandon Mark, PT, DPT

Physical Therapist in Issaquah, WA. Individual provider (NPI-1).

NPI number1003334871
StatusActive
Last updated in NPPESSep 25, 2017

Details

NPI
1003334871
Entity type
Individual (NPI-1)
Name
Kyle Brandon Mark
Credential
PT, DPT
Sex
Male
Sole proprietor
No
Enumeration date
Aug 31, 2017
Last updated
Sep 25, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT60750168WAYes

Practice location

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

Phone 206-264-8100

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