Healthcare Provider Details

I. General information

NPI: 1760386361
Provider Name (Legal Business Name): YKR PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10429 SE 240TH ST
KENT WA
98031-5301
US

IV. Provider business mailing address

13963 NE 15TH CT # 11
BELLEVUE WA
98005-4259
US

V. Phone/Fax

Practice location:
  • Phone: 425-333-1194
  • Fax: 425-324-9421
Mailing address:
  • Phone: 425-333-1194
  • Fax: 425-324-9421

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: MOE SHAHIN
Title or Position: OWNER
Credential:
Phone: 425-417-4097