Provider Demographics
NPI:1487692497
Name:RATTUE, PATRICIA ANNE (MPT)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ANNE
Last Name:RATTUE
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24715 NE 126 STREET
Mailing Address - Street 2:
Mailing Address - City:DUVALL
Mailing Address - State:WA
Mailing Address - Zip Code:98019-9009
Mailing Address - Country:US
Mailing Address - Phone:425-788-6601
Mailing Address - Fax:425-788-4488
Practice Address - Street 1:17330 135TH AVE NE
Practice Address - Street 2:SUITE 1C
Practice Address - City:WOODENVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072
Practice Address - Country:US
Practice Address - Phone:425-481-0236
Practice Address - Fax:425-481-8266
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00002703225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0175246OtherWA L&I WORK COMP
WA8934000OtherCRIME VICTIMS INSURANCE
WA0175246OtherWA L&I WORK COMP