=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609374065
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | I-CHING HSIEH DPT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/31/2018
-----------------------------------------------------
Last Update Date | 03/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 510 8TH AVE NE STE 340
-----------------------------------------------------
City | ISSAQUAH
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98029-5449
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-313-3055
-----------------------------------------------------
Fax | 425-313-3051
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 510 8TH AVE NE STE 320
-----------------------------------------------------
City | ISSAQUAH
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98029-5436
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-313-3055
-----------------------------------------------------
Fax | 425-313-3051
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------