Individual
KYLE BRANDON MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
510 8TH AVE NE SUITE 340, ISSAQUAH, WA 98029-5436
(425) 313-3055
(425) 313-3051
Mailing address
805 MADISON STREET, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60750168
WA
Other
Enumeration date
08/31/2017
Last updated
09/25/2017
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