Healthcare Provider Details

I. General information

NPI: 1790613032
Provider Name (Legal Business Name): STEPHEN KIRALY PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6108 ROOSEVELT WAY NE
SEATTLE WA
98115-6613
US

IV. Provider business mailing address

6108 ROOSEVELT WAY NE
SEATTLE WA
98115-6613
US

V. Phone/Fax

Practice location:
  • Phone: 206-524-4977
  • Fax:
Mailing address:
  • Phone: 206-524-4977
  • Fax: 206-524-4340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT.PT.70138616
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: