Most Relevant Information
Provider Data
| NPI Number: | 1003423179 |
| Provider Name: | SIMON JINHUNG LI PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT61086305 |
Most Important Dates
| Enumeration Date: | 09/23/2020 |
| Last Updated: | 05/09/2022 |
Provider Practice Location
13410 HIGHWAY 99 STE 204
EVERETT
WA
982045454
Practice Location Phone/Fax
| Phone: | 4257427300 |
| Fax: |
Provider Mailing Location
9811 243RD PL SW
EDMONDS
WA
980206517
Provider Mailing Phone/Fax
| Phone: | 6503034596 |
| Fax: |