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NPI Code Detail

MEDICARE: ELIZABETH ROSE LAUSH PT

MEDICARE: ELIZABETH ROSE LAUSH 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
1225100000XPhysical TherapistPT61474738WA

General Provider Information

NPI Number : 1609656768
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ROSE LAUSH PT
Provider Business Mailing Address
First Line : 8359 29TH AVE NW
Second Line :
City : SEATTLE
State : WA
Zip : 98117-3822
Country : US
Telephone Number : 206-851-6545
Fax Number :
Provider Business Practice Location Address
First Line : 4027 LEARY WAY NW STE 100
Second Line :
City : SEATTLE
State : WA
Zip : 98107-5045
Country : US
Telephone Number : 206-580-3670
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2023
Last Update Date : 10/04/2023

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Directions to “ ELIZABETH ROSE LAUSH PT” Practice Location

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