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Individual

MR. DUSTIN LUKE ELLZEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
Mailing address
18623 112TH AVE SE, RENTON, WA 98055-7131
(425) 502-3000

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60149850
WA

Other

Enumeration date
07/01/2010
Last updated
04/27/2021
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