Provider Demographics
NPI:1871696138
Name:GRAY, Y D (DPT)
Entity type:Individual
Prefix:
First Name:Y
Middle Name:D
Last Name:GRAY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 S COLUMBIAN WAY
Mailing Address - Street 2:DEPT OF VETERANS AFFAIRS - SCI UNIT, MS-128
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108
Mailing Address - Country:US
Mailing Address - Phone:206-764-2231
Mailing Address - Fax:206-764-2799
Practice Address - Street 1:1660 S COLUMBIAN WAY
Practice Address - Street 2:DEPT OF VETERANS AFFAIRS MS-128
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108
Practice Address - Country:US
Practice Address - Phone:206-764-2231
Practice Address - Fax:206-764-2799
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAPT00009012225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist