MEDICARE: WEST SEATTLE PELVIC HEALTH & PT

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	:	1306628847
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST SEATTLE PELVIC HEALTH & PT

Provider Business Mailing Address
First Line	:	4417 46TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-4127
Country	:	US
Telephone Number	:	206-228-4023
Fax Number	:

Provider Business Practice Location Address
First Line	:	3270 CALIFORNIA AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-3305
Country	:	US
Telephone Number	:	206-228-4023
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. LAURA JEWETT
Credential	:	DPT
Telephone Number	:	206-228-4023

Provider Enumeration Date	:	10/18/2023
Last Update Date	:	10/18/2023

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Directions to “WEST SEATTLE PELVIC HEALTH & PT ” Practice Location

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