Provider Demographics
NPI:1831262526
Name:MAROIS, WHITNEY S (PT)
Entity type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:S
Last Name:MAROIS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:S
Other - Last Name:OBLAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4361 TALBOT RD S
Mailing Address - Street 2:STE 100
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055
Mailing Address - Country:US
Mailing Address - Phone:425-917-9885
Mailing Address - Fax:425-917-2334
Practice Address - Street 1:4361 TALBOT RD SO
Practice Address - Street 2:STE 100
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055
Practice Address - Country:US
Practice Address - Phone:425-917-9885
Practice Address - Fax:425-917-2334
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00009793225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA199129OtherDEPT OF L & I
5909659OtherAETNA
WA8463457Medicaid
8859703Medicare ID - Type Unspecified