Andrew M Fukuda, PT, DPT | |
510 8th Ave Ne Ste 340, Issaquah, WA 98029-5449 | |
(425) 313-3055 | |
(425) 313-3051 |
Full Name | Andrew M Fukuda |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 510 8th Ave Ne Ste 340, Issaquah, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518694900 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
225100000X | Physical Therapist | PT61294943 (Washington) | Primary |
Provider Name | Proliance Surgeons Inc Ps |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1023170313 PECOS PAC ID: 8527972900 Enrollment ID: O20031119000128 |
Mailing Address | Practice Location Address |
---|---|
Andrew M Fukuda, PT, DPT 510 8th Ave Ne Ste 320, Issaquah, WA 98029-5436 Ph: (425) 313-3055 | Andrew M Fukuda, PT, DPT 510 8th Ave Ne Ste 340, Issaquah, WA 98029-5449 Ph: (425) 313-3055 |
Beth Simon Crabtree, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 Nw Juniper St, Ste 104, Issaquah, WA 98027 Phone: 425-392-7989 Fax: 425-391-2554 | |
Kyle Brandon Mark, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 510 8th Ave Ne Suite 340, Issaquah, WA 98029 Phone: 425-313-3055 Fax: 425-313-3051 | |
Nattika Detskultorn, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1301 4th Ave Nw Ste 100, Issaquah, WA 98027 Phone: 425-392-7989 | |
Jhansi Juluri, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 405 Nw Gilman Blvd Ste 200, Issaquah, WA 98027 Phone: 425-392-6804 Fax: 425-392-6805 | |
Rebekah D Ley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6520 226th Pl Se, Suite 205, Issaquah, WA 98027 Phone: 425-392-8611 Fax: 425-392-9012 | |
Kevin Michael Traupmann, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 510 8th Ave Ne Ste 340, Issaquah, WA 98029 Phone: 425-313-3055 Fax: 425-313-3051 | |
Ms. Cathy A. Olson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 Nw Gilman Blvd, Suite A, Issaquah, WA 98027 Phone: 425-313-3055 Fax: 425-313-3051 |