Provider Demographics
NPI:1972273985
Name:MITSUI, EMMA (PT, DPT)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:MITSUI
Suffix:
Gender:
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 BROADWAY STE 530
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-5396
Mailing Address - Country:US
Mailing Address - Phone:206-386-2013
Mailing Address - Fax:
Practice Address - Street 1:600 BROADWAY STE 530
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-5396
Practice Address - Country:US
Practice Address - Phone:206-386-2013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-20
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61180300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist