Healthcare Provider Details

I. General information

NPI: 1821952573
Provider Name (Legal Business Name): HEALING HANDS MOBILE WOUND CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14900 INTERURBAN AVE S STE 269
TUKWILA WA
98168-4635
US

IV. Provider business mailing address

14900 INTERURBAN AVE S STE 269
TUKWILA WA
98168-4635
US

V. Phone/Fax

Practice location:
  • Phone: 206-701-9799
  • Fax: 206-701-9939
Mailing address:
  • Phone: 206-701-9799
  • Fax: 206-701-9939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: KARREN CORREGIDOR
Title or Position: MANAGER
Credential: FNP-C
Phone: 702-994-8749