Individual
MR. DOUGLAS T UYEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
6601 220TH ST SW, SUITE 1, MOUNTLAKE TERRACE, WA 98043-2166
(425) 775-7274
Mailing address
1628 103RD AVE SE, BELLEVUE, WA 98004-7001
(425) 451-9355
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006340
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207260
LNI PROVIDER NUMBER
WA
Enumeration date
05/18/2007
Last updated
07/08/2007
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