Provider Demographics
NPI:1699440552
Name:SIBLEY, SEAN GUSKE (DPT)
Entity type:Individual
Prefix:DR
First Name:SEAN
Middle Name:GUSKE
Last Name:SIBLEY
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 QUEEN ANNE AVE N APT 315
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-2560
Mailing Address - Country:US
Mailing Address - Phone:509-881-7865
Mailing Address - Fax:
Practice Address - Street 1:1455 NW LEARY WAY STE 150
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-5140
Practice Address - Country:US
Practice Address - Phone:206-668-6832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-12
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA611367672251X0800X
TX611367672251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic