Provider Demographics
NPI:1992544738
Name:SINGH, RAVIJEET (DPT)
Entity type:Individual
Prefix:
First Name:RAVIJEET
Middle Name:
Last Name:SINGH
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 1:1823 NE 172ND ST
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98155-6034
Mailing Address - Country:US
Mailing Address - Phone:206-353-3200
Mailing Address - Fax:
Practice Address - Street 1:190 W DAYTON ST STE 202
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98020-7221
Practice Address - Country:US
Practice Address - Phone:425-582-8118
Practice Address - Fax:425-582-7420
Is Sole Proprietor?:No
Enumeration Date:2024-05-21
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61529224225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist