MEDICARE: MUGARURA PHYSICAL THERAPY & WELLNESS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist

General Provider Information

NPI Number	:	1043048028
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUGARURA PHYSICAL THERAPY & WELLNESS PLLC

Provider Business Mailing Address
First Line	:	3520 27TH PL W APT 123
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98199-2157
Country	:	US
Telephone Number	:	612-298-6186
Fax Number	:

Provider Business Practice Location Address
First Line	:	3520 27TH PL W APT 123
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98199-2157
Country	:	US
Telephone Number	:	612-298-6186
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JORDAN MUGARURA
Credential	:
Telephone Number	:	612-298-6186

Provider Enumeration Date	:	07/23/2024
Last Update Date	:	07/23/2024

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