IndividualActive
Andre Fuller, PTA
NPI 1669618468 · Physical Therapy Assistant · Bremerton, WA
Provider details
- NPI number
- 1669618468
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- P160039642 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
560 Lebo Blvd
Bremerton, WA 98310
Phone: (971) 206-5200
Fax: (971) 206-5203
Approximate (ZIP-level) locationGet directions
Mailing address
4560 Se International Way
Milwaukie, OR 97222
Registry dates
- Enumerated
- 2008-12-29
- Last updated
- 2008-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.