Basic Information
| Provider Information | |||||||||
| NPI: | 1144948894 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LEE | ||||||||
| FirstName: | AARON | ||||||||
| MiddleName: | MINSEOK | ||||||||
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| Credential: | PT,DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 210 WALL ST UNIT 327 | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981212290 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8587508084 | ||||||||
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| Practice Location | |||||||||
| Address1: | 23515 NE NOVELTY HILL RD STE B213 | ||||||||
| Address2: | |||||||||
| City: | REDMOND | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980532072 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4258685260 | ||||||||
| FaxNumber: | 4258688604 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/18/2022 | ||||||||
| LastUpdateDate: | 08/18/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/18/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT61293564 | WA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.