Provider Demographics
NPI:1962049221
Name:CRAMER, MARK THOMAS (DPT)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:THOMAS
Last Name:CRAMER
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 1:10520 35TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-7902
Mailing Address - Country:US
Mailing Address - Phone:206-227-3761
Mailing Address - Fax:
Practice Address - Street 1:7728 204TH ST NE UNIT A
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-2500
Practice Address - Country:US
Practice Address - Phone:360-403-8250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-05
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60982787208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation