Healthcare Provider Details

I. General information

NPI: 1093708398
Provider Name (Legal Business Name): TIMOTHY D STENSBY MPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2005
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 ANDOVER PARK W
TUKWILA WA
98188-2801
US

IV. Provider business mailing address

805 MADISON ST STE 901
SEATTLE WA
98104-1172
US

V. Phone/Fax

Practice location:
  • Phone: 425-979-2663
  • Fax: 425-524-4447
Mailing address:
  • Phone: 425-656-5060
  • Fax: 425-656-5047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT00008439
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: