# SEATTLE SPINE & REHABILITATION MEDICINE PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Seattle Spine & Rehabilitation Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578711677
- **Authorized official:** RICHARD E SEROUSSI M.D. (MEDICAL DOCTOR)
- **Authorized official phone:** (206) 861-8200

## Contact information

- **Practice address:** 3213 EASTLAKE AVE E, SUITE A1, SEATTLE, WA 98102-7127
- **Practice address phone:** (206) 861-8200
- **Mailing address:** 3213 EASTLAKE AVENUE EAST, SUITE A1, SEATTLE, WA 98102-7127
- **Mailing address phone:** (206) 861-8200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | MD00031281 | WA | Yes |

## Other

- **Enumeration date:** 09/03/2008
- **Last updated:** 12/14/2010