Healthcare Provider Details

I. General information

NPI: 1831751031
Provider Name (Legal Business Name): TRACEY BREE HEDMAN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2019
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3719 88TH ST NE STE A
MARYSVILLE WA
98270-7228
US

IV. Provider business mailing address

16261 REDMOND WAY STE 100
REDMOND WA
98052-3833
US

V. Phone/Fax

Practice location:
  • Phone: 360-659-9621
  • Fax:
Mailing address:
  • Phone: 425-881-3001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT60977796
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: