Provider Demographics
NPI:1063176188
Name:PROGRESSION PHYSICAL THERAPY, PLLC
Entity type:Organization
Organization Name:PROGRESSION PHYSICAL THERAPY, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:DR
Authorized Official - First Name:BYRON-NOEL
Authorized Official - Middle Name:VALDEZ
Authorized Official - Last Name:SUNGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-420-3816
Mailing Address - Street 1:406 BAKER BLVD STE 130
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98188-2972
Mailing Address - Country:US
Mailing Address - Phone:206-420-3816
Mailing Address - Fax:206-492-2228
Practice Address - Street 1:406 BAKER BLVD STE 130
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188-2972
Practice Address - Country:US
Practice Address - Phone:206-420-3816
Practice Address - Fax:206-492-2228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-25
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty