Individual provider · Type 1 NPI

Dyan Nicole Prouse, D.P.T.

Specialist · Vashon, WA

NPI number 1629295282 Active

Practice location

17141 Vashon Hwy SW, # 103
Vashon, WA 98070-4603

Fax (206) 463-3089

Mailing address

PO Box 921
Vashon, WA 98070-0921

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XPT00007497 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1629295282

Dyan Nicole Prouse, D.P.T.'s National Provider Identifier is 1629295282, issued on Apr 18, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Vashon, WA. The record was last updated on Jun 27, 2017.