Provider Demographics
NPI:1043824196
Name:ACOSTA, FRANK (BSRT)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:ACOSTA
Suffix:
Gender:M
Credentials:BSRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7614 93RD AVE SW
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98498-3980
Mailing Address - Country:US
Mailing Address - Phone:206-369-2383
Mailing Address - Fax:
Practice Address - Street 1:7614 93RD AVE SW
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98498-3980
Practice Address - Country:US
Practice Address - Phone:206-369-2383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-06
Last Update Date:2020-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALR000029712279S1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279S1500XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredSNF/Subacute Care