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Individual
MARK L. LEEK
Active
Individual
MARK L. LEEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PT00010397
WA
225100000X
Physical Therapist
Primary
PT00010397
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0229756
L&I
WA
01
—
0229758
L&I
WA
05
—
1043745
—
WA
01
—
3347LE
REGENCE BS
WA
01
—
3388LE
REGENCE BS
WA
01
—
5677LE
REGENCE BS
WA
01
—
7661LE
REGENCE BS
WA
01
—
8494783
DSHS
WA
01
—
8871179
MEDICARE
WA
01
—
8871180
MEDICARE
WA
01
—
8946493
L&I CRIME
WA
01
—
9411LE
REGENCE BS
WA
01
—
P00739007
RAILROAD MEDICARE
WA
Enumeration date
03/16/2007
Last updated
03/15/2017
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