MEDICARE: MARILYN LEE MCKELVEY 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	225100000X	Physical Therapist	PT00002092	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	97699	OTHER	WA	L&I GROUP FACILITY PROV #

General Provider Information

NPI Number	:	1720055114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARILYN LEE MCKELVEY PT

Provider Business Mailing Address
First Line	:	3602 OLYMPIC BLVD W
Second Line	:
City	:	UNIVERSITY PLACE
State	:	WA
Zip	:	98466-1410
Country	:	US
Telephone Number	:	253-564-0324
Fax Number	:	253-756-7175

Provider Business Practice Location Address
First Line	:	2302 S UNION AVE
Second Line	:	SUITE B-10
City	:	TACOMA
State	:	WA
Zip	:	98405-1300
Country	:	US
Telephone Number	:	253-752-9303
Fax Number	:	253-756-7175

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2006
Last Update Date	:	07/09/2007

Similar Medicare Providers

1003035668 — DR. CHAD W SMART DDS
Practice Location Address:

2302 S UNION AVE , STE B-14
TACOMA, WA
98405-1300

Practice Phone: 253-752-3949
Practice Fax: 253-752-6392

1154328300 — DR. ALAN F ALTMAN DDS, PC
Practice Location Address:

2302 S UNION AVE , SUITE A6
TACOMA, WA
98405-1300

Practice Phone: 253-752-4422
Practice Fax: 253-759-5724

1902806862 — GERALD S COLEMAN P.T.
Practice Location Address:

2302 S UNION AVE , SUITE B-10
TACOMA, WA
98405-1300

Practice Phone: 253-752-9303
Practice Fax: 253-756-7175

1841267242 — TACOMA PHYSICAL THERAPY INC PS
Practice Location Address:

2302 S UNION AVE , SUITE B-10
TACOMA, WA
98405-1300

Practice Phone: 253-752-9303
Practice Fax: 253-756-7175

1033290903 — DAVID L MUGLESTON
Practice Location Address:

2302 S UNION AVE , SUITE A-2
TACOMA, WA
98405-1300

Practice Phone: 253-752-5933
Practice Fax: 253-752-6535

1598835118 — DR. DAVID FRANKLIN ANDREW D.D.S.
Practice Location Address:

2302 S UNION AVE , BUILDING B SUITE 12
TACOMA, WA
98405-1300

Practice Phone: 253-752-2447
Practice Fax: 253-752-2448

Directions to “ MARILYN LEE MCKELVEY PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.