Healthcare Provider Details

I. General information

NPI: 1801572896
Provider Name (Legal Business Name): JOEL HURTADO DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2023
Last Update Date: 06/23/2023
Certification Date: 06/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13242 AURORA AVE N STE 103
SEATTLE WA
98133-7026
US

IV. Provider business mailing address

13242 AURORA AVE N STE 103
SEATTLE WA
98133-7026
US

V. Phone/Fax

Practice location:
  • Phone: 206-420-0221
  • Fax:
Mailing address:
  • Phone: 206-420-0221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: