Healthcare Provider Details
I. General information
NPI: 1699514877
Provider Name (Legal Business Name): STEVEN YUASA PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/20/2024
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1332 COLBY AVE
EVERETT WA
98201-1618
US
IV. Provider business mailing address
1332 COLBY AVE
EVERETT WA
98201-1618
US
V. Phone/Fax
- Phone: 425-470-4040
- Fax:
- Phone: 425-470-4040
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 0000335 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | PT61563734 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: