Andre Laval Fuller, PTA

Physical Therapy Assistant · Bremerton, WA

Individual Active NPI

NPI number 1669618468

Practice location

560 Lebo Blvd
Bremerton, WA 98310
Phone
(971) 206-5200
Fax
(971) 206-5203

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NPI record

NPI
1669618468
Entity type
Individual (Type 1)
Enumeration date
December 29, 2008
Last updated
December 29, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X P160039642 WA

Mailing address

4560 SE International Way
Ste. 100 Consonus Healthcare Services
Milwaukie, OR 97222
Phone
(971) 206-5200
Fax
(971) 206-5203

About Andre Fuller

Andre Laval Fuller, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 560 Lebo Blvd, Bremerton, WA 98310. The NPI number 1669618468 was assigned on December 29, 2008 and the record was last updated on December 29, 2008.

Andre Fuller lists a license in the registry: #P160039642 (WA) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Andre Laval Fuller, PTA?

The NPI number is 1669618468.

What is the phone number of Andre Fuller?

The phone number listed for the practice location is (971) 206-5200.

Where is Andre Fuller located?

560 Lebo Blvd, Bremerton, WA 98310.

What is the taxonomy code for Andre Fuller?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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