Healthcare Provider Details

I. General information

NPI: 1043172448
Provider Name (Legal Business Name): SARAH SAFWAT TADRES KAMEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2707 171ST PL NE STE 101
MARYSVILLE WA
98271-4740
US

IV. Provider business mailing address

8808 56TH PL NE
MARYSVILLE WA
98270-9611
US

V. Phone/Fax

Practice location:
  • Phone: 360-386-7401
  • Fax:
Mailing address:
  • Phone: 360-830-8229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberP161662786
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: