Provider Demographics
NPI:1386376341
Name:TVEDT, GRETA JEAN (PT, DPT)
Entity type:Individual
Prefix:
First Name:GRETA
Middle Name:JEAN
Last Name:TVEDT
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:GRETA
Other - Middle Name:JEAN
Other - Last Name:SPITZER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:3052 231ST LN SE APT C106
Mailing Address - Street 2:
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98075-7265
Mailing Address - Country:US
Mailing Address - Phone:815-545-3836
Mailing Address - Fax:
Practice Address - Street 1:1301 4TH AVE NW STE 300
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-9371
Practice Address - Country:US
Practice Address - Phone:425-395-7317
Practice Address - Fax:425-395-7319
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist