Healthcare Provider Details

I. General information

NPI: 1003726340
Provider Name (Legal Business Name): ANA PRISCILA ESPINDOLA GARZON DPT, PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23515 NE NOVELTY HILL RD STE B213
REDMOND WA
98053-2072
US

IV. Provider business mailing address

23515 NE NOVELTY HILL RD STE B213
REDMOND WA
98053-2072
US

V. Phone/Fax

Practice location:
  • Phone: 425-868-5260
  • Fax:
Mailing address:
  • Phone: 425-868-5260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number70166914
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: