MEDICARE: NATALIYA GUGA

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	225200000X	Physical Therapy Assistant	P160894274	WA

General Provider Information

NPI Number	:	1730658881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIYA GUGA

Provider Business Mailing Address
First Line	:	1323 17TH ST SE APT A
Second Line	:
City	:	AUBURN
State	:	WA
Zip	:	98002
Country	:	US
Telephone Number	:	425-367-1174
Fax Number	:

Provider Business Practice Location Address
First Line	:	1323 17TH ST SE APT A
Second Line	:
City	:	AUBURN
State	:	WA
Zip	:	98002
Country	:	US
Telephone Number	:	425-367-1174
Fax Number	:

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

Provider Enumeration Date	:	11/19/2018
Last Update Date	:	11/19/2018

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Directions to “ NATALIYA GUGA ” Practice Location

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