PROFESSIONAL RECREATION ORGANIZATION INC. NPI 1124162235

NPI Information

  • NPI: 1124162235
  • Provider Name: PROFESSIONAL RECREATION ORGANIZATION, INC.
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Doing Business As: PRO SPORTS CLUB
  • Address: 4455 148TH AVE NE
    BELLEVUE, WA
    ZIP 98007
  • Phone: (425) 895-6546

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NPI Details

PROFESSIONAL RECREATION ORGANIZATION, INC. is a podiatrist in Bellevue, WA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. PROFESSIONAL RECREATION ORGANIZATION, INC. NPI is 1124162235. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pro Sports Club.

The provider's business location address is:

4455 148TH AVE NE
BELLEVUE, WA
ZIP 98007-120
Phone: (425) 895-6546
Fax: (425) 861-6277

The provider's authorized official is Debbie Becker .
The authorized official title is Sr. Director Of Accounting and has the following contact phone number (425) 869-4746.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 8/7/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist600541508WASHINGTONYes

What is NPI?

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This page was last updated on: 11/21/2025

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