Provider Demographics
NPI:1144948894
Name:LEE, AARON MINSEOK (PT,DPT)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:MINSEOK
Last Name:LEE
Suffix:
Gender:M
Credentials:PT,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 WALL ST UNIT 327
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-2290
Mailing Address - Country:US
Mailing Address - Phone:858-750-8084
Mailing Address - Fax:
Practice Address - Street 1:23515 NE NOVELTY HILL RD STE B213
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98053-2072
Practice Address - Country:US
Practice Address - Phone:425-868-5260
Practice Address - Fax:425-868-8604
Is Sole Proprietor?:No
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT61293564225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist