SearchWashington171400000X

Tetyana Derepa

NPI 1861312605 · on the registry since 2026 · sole proprietor

Practice

Address
13824 Se 251st St
Kent, WA 98042
Phone
(425) 443-4007

Registry record

Primary taxonomy
171400000X
171400000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington