Healthcare Provider Details

I. General information

NPI: 1750256939
Provider Name (Legal Business Name): JENNA YEE DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2025
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16259 SYLVESTER RD SW STE 102
BURIEN WA
98166-3094
US

IV. Provider business mailing address

16259 SYLVESTER RD SW STE 102
BURIEN WA
98166-3094
US

V. Phone/Fax

Practice location:
  • Phone: 206-242-5186
  • Fax:
Mailing address:
  • Phone: 206-242-5186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT70036232
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: