Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maksim Vladimir Sukharev, AA, LMT

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1154871259

Maksim Vladimir Sukharev, AA, LMT is a Physical Medicine & Rehabilitation Physician in Mountlake Terrace, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2016
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

6808 220th St SW Ste 203
Mountlake Terrace, WA 98043-2187
Phone: (425) 776-1056
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence MA 60584369 (WA)

Record details

NPI number1154871259
Entity typeIndividual (Type 1)
GenderMale
Credentials AA , LMT
Sole proprietorYes
NPI enumeratedOctober 12, 2016
Last updated in NPPESOctober 12, 2016

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