Individual
ADAM CHARLES SHILDMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1455 NW LEARY WAY STE 150, SEATTLE, WA 98107-5140
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 60285896
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144579681
—
WA
Enumeration date
08/30/2012
Last updated
11/12/2019
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