Provider Demographics
NPI:1548739576
Name:HANSES, LEE (PT, DPT)
Entity type:Individual
Prefix:
First Name:LEE
Middle Name:
Last Name:HANSES
Suffix:
Gender:F
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 1:9923 ORCHARD AVE
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-8401
Mailing Address - Country:US
Mailing Address - Phone:509-895-9407
Mailing Address - Fax:
Practice Address - Street 1:3800 WOODLAND PARK AVE N STE 100
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-7943
Practice Address - Country:US
Practice Address - Phone:206-284-2396
Practice Address - Fax:206-547-9286
Is Sole Proprietor?:No
Enumeration Date:2018-11-20
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60913301225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist