NPI Profile for Dr THOMAS G DEPUYDT in KIRKLAND, WA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Sports Medicine |
2083S0010X | 84 | Physician/Preventive Medicine | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice | |
Family Medicine - Sports Medicine |
207QS0010X | 08 | Physician/Family Practice | |
Neuromusculoskeletal Medicine, Sports Medicine |
204C00000X | 12 | Physician/Osteopathic Manipulative Medicine | |
Sports Medicine |
2080S0010X | 37 | Physician/Pediatric Medicine | |
Sports Medicine |
2081S0010X | 25 | Physician/Physical Medicine and Rehabilitation |
| NPI Number | 1063441236 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 07/01/2006 | |
| Last updated | 09/11/2025 - About 9 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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THOMAS G DEPUYDT
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