Individual
GREGORY RICHARD NIVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
506 12TH AVE, SEATTLE, WA 98122-5509
(206) 430-6262
Mailing address
1560 140TH AVE NE STE 100, BELLEVUE, WA 98005-4571
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT61299062
WA
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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