Healthcare Provider Details

I. General information

NPI: 1245381128
Provider Name (Legal Business Name): CHRISTOPHER TUOHY DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 09/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7525 166TH AVE NE D225
REDMOND WA
98052-7828
US

IV. Provider business mailing address

7525 166TH AVE NE STE D225
REDMOND WA
98052-7828
US

V. Phone/Fax

Practice location:
  • Phone: 425-883-9630
  • Fax: 877-206-1253
Mailing address:
  • Phone: 425-883-9630
  • Fax: 877-206-1253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number602963991
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT00005806
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: