| NPI | 1639219868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HEINZELMAN Owner/ Manager 206-855-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00008747) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00007979) |
| 2251C2600X (Licence: WA PT00007979) | |
| 2251E1200X Physical Therapist, Ergonomics (Licence: WA PT00007979) | |
| 2251G0304X Physical Therapist, Geriatrics (Licence: WA PT00007979) | |
| 2251H1200X Physical Therapist, Hand (Licence: WA PT00008747) | |
| 2251S0007X Physical Therapist, Sports (Licence: WA PT00008747) | |
| 2251S0007X Physical Therapist, Sports (Licence: WA PT00007979) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: WA PT00008747) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: WA PT00007979) | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-12-28 |