Healthcare Provider Details
I. General information
NPI: 1730720566
Provider Name (Legal Business Name): CONAYTUS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/02/2019
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1800 112TH AVE NE STE 260E
BELLEVUE WA
98004-2937
US
IV. Provider business mailing address
1800 112TH AVE NE STE 260E
BELLEVUE WA
98004-2937
US
V. Phone/Fax
- Phone: 206-486-2906
- Fax: 509-821-9219
- Phone: 206-486-2906
- Fax: 509-821-9219
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SARAH
MCKIM THOMAS
Title or Position: OWNER
Credential: CCC-SLP
Phone: 206-486-2906