Individual provider · Type 1 NPI

Tristan George Runyon

Physical Therapy Assistant · Lake Stevens, WA

NPI number 1669188967 Active

Practice location

9514 4th St NE Unit 101
Lake Stevens, WA 98258-1937

Mailing address

102 140th St NW
Tulalip, WA 98271-6795

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XP161362588 (WA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1669188967

Tristan George Runyon's National Provider Identifier is 1669188967, issued on Jan 30, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lake Stevens, WA. The record was last updated on Jan 30, 2023.