# BRIAN T SUNDAHL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1790729952
- **Gender:** Man
- **Credential:** DPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 5367 | OR | Yes |
| 225100000X | Physical Therapist | PT00008548 | WA | — |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 09/06/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 151355 | LABOR & INDUSTRIES | WA |
| 01 | — | 5743SU | REGENCE BLUESHIELD | WA |
| 05 | — | 8347015 | — | WA |
| 01 | — | 8930584 | L&I CRIME VICTIMS PROGRAM | WA |