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

Marissa Northup

Individual provider Physical Therapy Assistant · NPI 1700461050

Marissa Northup is a Physical Therapy Assistant in Mill Creek, Washington. Licensed in Washington. Registered with an NPI since 2021.

Licensed in
WA
In the registry since
2021
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Practice location Address checks out

15906 Mill Creek Blvd
Mill Creek, WA 98012-1797
Phone: (425) 332-1030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 60968438 (WA)

Record details

NPI number1700461050
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 17, 2021
Last updated in NPPESMarch 17, 2021
Certification dateMarch 17, 2021
Mailing address18818 Fremont Ave N, Shoreline, WA 98133-3823

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