Individual
SHAWN SUWIWATTANAKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12121 HARBOUR REACH DR STE 100, MUKILTEO, WA 98275-5314
(425) 493-8313
Mailing address
12121 HARBOUR REACH DR STE 100, MUKILTEO, WA 98275-5314
(425) 493-8313
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.P1.70123872
WA
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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