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

Tristan George Runyon

Individual provider Physical Therapy Assistant · NPI 1669188967

Tristan George Runyon is a Physical Therapy Assistant in Lake Stevens, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2023

Practice location Address checks out

9514 4th St NE Unit 101
Lake Stevens, WA 98258-1937
Phone: (425) 397-2327
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence P161362588 (WA)

Record details

NPI number1669188967
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 30, 2023
Last updated in NPPESJanuary 30, 2023
Certification dateJanuary 30, 2023
Mailing address102 140th St Nw, Tulalip, WA 98271-6795

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