Healthcare Provider Details

I. General information

NPI: 1194681908
Provider Name (Legal Business Name): KYLE HADLEY RRT-NPS, C-NPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/25/2025
Last Update Date: 12/25/2025
Certification Date: 12/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 SAND POINT WAY NE
SEATTLE WA
98105-3901
US

IV. Provider business mailing address

7001 SEAVIEW AVE NW STE 829
SEATTLE WA
98117-6006
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279P3900X
TaxonomyNeonatal/Pediatric Registered Respiratory Therapist
License Number9736297
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: