MEDICARE: SOUND TELEHEALTH, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083B0002X	Obesity Medicine (Preventive Medicine) Physician

General Provider Information

NPI Number	:	1326998493
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUND TELEHEALTH, PLLC

Provider Business Mailing Address
First Line	:	2628 W PLYMOUTH ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98199-4125
Country	:	US
Telephone Number	:	206-334-6650
Fax Number	:	425-954-7552

Provider Business Practice Location Address
First Line	:	2628 W PLYMOUTH ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98199-4125
Country	:	US
Telephone Number	:	206-334-6650
Fax Number	:	425-954-7552

Authorized Official
Title or Position	:	OWNER
Name	:	CRYSTAL KOSTELYK
Credential	:	DNP, ARNP, FNP-BC
Telephone Number	:	206-334-6650

Provider Enumeration Date	:	01/29/2026
Last Update Date	:	01/29/2026

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