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

Mr. Andre Laval Fuller, PTA

Individual provider Physical Therapy Assistant · NPI 1669618468

Mr. Andre Laval Fuller, PTA is a Physical Therapy Assistant in Bremerton, Washington. Licensed in Washington. Registered with an NPI since 2008.

Licensed in
WA
In the registry since
2008
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

560 Lebo Blvd
Bremerton, WA 98310
Phone: (971) 206-5200
Fax: (971) 206-5203
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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 P160039642 (WA)

Record details

NPI number1669618468
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedDecember 29, 2008
Last updated in NPPESDecember 29, 2008
Mailing address4560 Se International Way, Ste. 100 Consonus Healthcare Services, Milwaukie, OR 97222

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