Individual
JONATHAN AVERY LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, CSCS
Contact information
Practice address
3200 W. MCGRAW STREET, SEATTLE, WA 98199
(206) 281-7970
(425) 746-2471
Mailing address
1560 140TH AVENUE NE, SUITE 100, BELLEVUE, WA 98005
(425) 746-2475
(425) 746-2471
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60146373
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0280803
DEPT. OF LABOR AND INDUSTRIES
WA
Enumeration date
05/13/2010
Last updated
12/05/2012
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