# BELLEVUE PHYSIATRY AND ELECTRODIAGNOSIS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538494067
- **Authorized official:** KATHLEEN H BURGESS MD (OWNER)
- **Authorized official phone:** (425) 712-3417

## Contact information

- **Practice address:** 12824 SE 4TH PL, BELLEVUE, WA 98005-3608
- **Practice address phone:** (425) 712-3417
- **Mailing address:** PO BOX 3129, LYNNWOOD, WA 98046-3129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2009
- **Last updated:** 10/16/2009