IndividualActive
Alexander Wirta, PT
NPI 1134597404 · Physical Therapist · Bothell, WA
Provider details
- NPI number
- 1134597404
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- PT 60555817 (WA)
Practice location
19017 120th Ave Ne Bldg 1
Suite 111
Bothell, WA 98011-9510
Phone: (425) 489-3420
Fax: (425) 489-3421
Mailing address
16083 Sw Upper Boones Ferry Rd
Tigard, OR 97224-7736
Registry dates
- Enumerated
- 2015-09-03
- Last updated
- 2017-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.