Individual
STEPHEN MICHAEL PANTELEAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
12021 NORTHUP WAY STE 102, BELLEVUE, WA 98005-1931
(425) 882-2122
Mailing address
10709 VALLEY VIEW RD UNIT A206, BOTHELL, WA 98011-3083
(206) 353-0751
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A161324072
WA
Other
Enumeration date
07/03/2020
Last updated
06/26/2024
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