Provider Demographics
NPI:1073357265
Name:JANABAYEV, HANNAH LAUREN (DPT)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:LAUREN
Last Name:JANABAYEV
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:LAUREN
Other - Last Name:BURSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:4314 236TH ST SW APT T107
Mailing Address - Street 2:
Mailing Address - City:MOUNTLAKE TERRACE
Mailing Address - State:WA
Mailing Address - Zip Code:98043-4322
Mailing Address - Country:US
Mailing Address - Phone:425-248-5173
Mailing Address - Fax:
Practice Address - Street 1:320 DAYTON ST STE 201
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98020-3590
Practice Address - Country:US
Practice Address - Phone:425-582-0727
Practice Address - Fax:425-276-9933
Is Sole Proprietor?:No
Enumeration Date:2024-06-21
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT61548339225100000X
2251X0800X, 225100000X, 2251E1200X, 2251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No2251E1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistErgonomics
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics