Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WYATT RODERICK
Active Sole ProprietorWYATT RODERICK is a In Home Supportive Care Agency healthcare provider located in ISSAQUAH, Washington. NPI 1295626588 is currently active in the NPPES registry. Verify at CMS.
In Home Supportive Care Agency · ISSAQUAH, WA
Registration Details
- NPI Number
- 1295626588
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2025 (1.1204479546914 yrs)
- Last Updated
- Aug 1, 2025
- License
-
IHS.FS.61601295 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
160 NW GILMAN BLVD STE 310ISSAQUAH, WA, 980272549Browse WA providers · Browse ZIP 98027
- Phone
- 4252455540
- Primary Specialty
-
In Home Supportive Care Agency
253Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.