Individual
CHRISTIAN TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
116 FAIRVIEW AVE N, SEATTLE, WA 98109-5360
(206) 254-1456
Mailing address
528 PONTIUS AVE N UNIT 521, SEATTLE, WA 98109-5822
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1326025
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61500122
WASHINGTON PHYSICAL THERAPIST LICENSE
WA
Enumeration date
02/20/2023
Last updated
01/08/2024
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