MEDICARE: UPWARD PHYSICAL THERAPY AND WELLNESS LLC

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1124632609
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UPWARD PHYSICAL THERAPY AND WELLNESS LLC

Provider Business Mailing Address
First Line	:	6507 GREENWOOD AVE N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-5223
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4027 LEARY WAY NW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-5045
Country	:	US
Telephone Number	:	206-580-3670
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PT
Name	:	ANNA FRIEDMAN
Credential	:
Telephone Number	:	206-465-6836

Provider Enumeration Date	:	09/02/2020
Last Update Date	:	09/28/2020

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Directions to “UPWARD PHYSICAL THERAPY AND WELLNESS LLC ” Practice Location

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