Basic Information
| Provider Information | |||||||||
| NPI: | 1144938200 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BAUVA | ||||||||
| FirstName: | DRASHTEE | ||||||||
| MiddleName: | ASHWIN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12626 176TH PL NE UNIT A | ||||||||
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| City: | REDMOND | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980522382 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9099683551 | ||||||||
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| Practice Location | |||||||||
| Address1: | 15600 NE 8TH ST STE E6 | ||||||||
| Address2: | |||||||||
| City: | BELLEVUE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980084087 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4252147679 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/08/2022 | ||||||||
| LastUpdateDate: | 11/08/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/07/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT61359673 | WA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.