MEDICARE: JULIANNE SIMPSON PHYSICAL THERAPY, 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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1265006548
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JULIANNE SIMPSON PHYSICAL THERAPY, PLLC

Provider Business Mailing Address
First Line	:	836 NE 56TH ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98105-2729
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	:	206-718-5648
Fax Number	:

Authorized Official
Title or Position	:	OWNER, PHYSICAL THERAPIST
Name	:	JULIANNE KEENAN SIMPSON
Credential	:	PT, DPT
Telephone Number	:	206-718-5648

Provider Enumeration Date	:	05/19/2021
Last Update Date	:	05/20/2021

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