Healthcare Provider Details

I. General information

NPI: 1306740402
Provider Name (Legal Business Name): NICOLE ARABOLOS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 NE 72ND ST
SEATTLE WA
98115-5409
US

IV. Provider business mailing address

408 NE 72ND ST
SEATTLE WA
98115-5409
US

V. Phone/Fax

Practice location:
  • Phone: 206-487-3391
  • Fax:
Mailing address:
  • Phone: 206-487-3391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA.P1.60850237
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: