MEDICARE: PETER SIU

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	2251X0800X	Orthopedic Physical Therapist

General Provider Information

NPI Number	:	1659655926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER SIU

Provider Business Mailing Address
First Line	:	108 SHAWNEE AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94112-3307
Country	:	US
Telephone Number	:	415-334-4239
Fax Number	:

Provider Business Practice Location Address
First Line	:	210 9TH AVE N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98109-5120
Country	:	US
Telephone Number	:	877-828-4510
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2011
Last Update Date	:	06/10/2021

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Directions to “ PETER SIU ” Practice Location

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