Provider Demographics
NPI:1295040764
Name:STEELE, ZACHARY IAN (DPT)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:IAN
Last Name:STEELE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:17110 SE 268TH PL
Mailing Address - Street 2:APT H202
Mailing Address - City:COVINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98042-7314
Mailing Address - Country:US
Mailing Address - Phone:425-413-4427
Mailing Address - Fax:425-413-4402
Practice Address - Street 1:26837 MAPLE VALLEY BLACK DIAMOND RD SE
Practice Address - Street 2:STE 200
Practice Address - City:MAPLE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:98038-9917
Practice Address - Country:US
Practice Address - Phone:425-413-4427
Practice Address - Fax:425-413-4402
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAPT60159664225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist