Individual
DR. BART RANDALL HAWKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS
Contact information
Practice address
2611 NE 125TH ST, STE 140, SEATTLE, WA 98125-4373
(206) 361-4745
(206) 361-4877
Mailing address
2611 NE 125TH ST, STE 140, SEATTLE, WA 98125-4373
(206) 361-4745
(206) 361-4877
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009758
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0198205
WA STATE L&I
WA
05
—
8428112
—
WA
01
—
9256HA
REGENCE BLUE SHIELD
WA
Enumeration date
05/19/2006
Last updated
11/09/2010
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