MEDICARE: BROGAN HURST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT70091113	WA

General Provider Information

NPI Number	:	1184577868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BROGAN HURST

Provider Business Mailing Address
First Line	:	6050 TACOMA MALL BLVD STE 300
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98409-6828
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 MCPHEE RD SW STE B
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98502-4070
Country	:	US
Telephone Number	:	360-539-1051
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2026
Last Update Date	:	02/20/2026

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Directions to “ BROGAN HURST ” Practice Location

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