Individual
BRIAN KEITH CLUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1207 N 200TH ST, SUITE 103, SHORELINE, WA 98133-3213
(206) 542-1986
(206) 542-1144
Mailing address
800 ALOHA ST, EDMONDS, WA 98020-3100
(425) 771-1774
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003503
WA
Other
Enumeration date
02/12/2007
Last updated
08/19/2016
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