Individual
AMANDA THEISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2815 SW NEVADA ST UNIT A, SEATTLE, WA 98126-2537
(320) 339-4030
Mailing address
1309 HARBOR AVE SW STE A, SEATTLE, WA 98116-1784
(206) 906-9207
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61388668
WA
Other
Enumeration date
05/31/2023
Last updated
04/15/2025
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