Provider Demographics
NPI:1619725827
Name:MCCREADY, ALONA VASYLIVNA (DPT)
Entity type:Individual
Prefix:
First Name:ALONA
Middle Name:VASYLIVNA
Last Name:MCCREADY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ALYONA
Other - Middle Name:VASYLIVNA
Other - Last Name:OBSHTYR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:1446 157TH CT NE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98008-2712
Mailing Address - Country:US
Mailing Address - Phone:972-693-6753
Mailing Address - Fax:
Practice Address - Street 1:1560 140TH AVE NE STE 100
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-4571
Practice Address - Country:US
Practice Address - Phone:425-842-3214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-11
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13736992251X0800X
WAPT61571464225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic