| Doctor Name: | SHANA G MULLEN |
| NPI Number: | 1073826749 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | PT60173504 |
| Business Practice Address: | 7525 Se 24th St Suite 510 Mercer Island, WA - 980402336 |
| Business Phone Number: | 2062308320 |
| Business Fax Number: | 2062308315 |
| Mailing Address: | 1188 106th Ave Ne, Suite 100 BELLEVUE |
| State: | WA |
| Postal Code: | 980048614 |
| Phone Number: | 4254544864 |
| Fax Number: | 4256463901 |
| NPI Enumeration Date: | 07/22/2010 |
| NPI Last Update Date: | 04/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT60173504 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |