Healthcare Provider Details

I. General information

NPI: 1902738628
Provider Name (Legal Business Name): PRACTICAL HEARING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11225 19TH AVE SE APT K106
EVERETT WA
98208-5188
US

IV. Provider business mailing address

11225 19TH AVE SE APT K106
EVERETT WA
98208-5188
US

V. Phone/Fax

Practice location:
  • Phone: 208-964-0777
  • Fax:
Mailing address:
  • Phone: 208-964-0777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: MARISSA BUTLER
Title or Position: OWNER/ CEO
Credential: HIS
Phone: 208-964-0777