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NPI Code Detail

MEDICARE: SEATTLE ORTHOPEDIC & SPORTS PHYSICAL THERAPY, INC.

MEDICARE: SEATTLE ORTHOPEDIC & SPORTS PHYSICAL THERAPY, INC.
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 Therapist

General Provider Information

NPI Number : 1861660532
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEATTLE ORTHOPEDIC & SPORTS PHYSICAL THERAPY, INC.
Provider Business Mailing Address
First Line : 2427 E MILLER ST
Second Line :
City : SEATTLE
State : WA
Zip : 98112-2201
Country : US
Telephone Number : 206-729-1405
Fax Number : 206-257-0076
Provider Business Practice Location Address
First Line : 2924 EASTLAKE AVE E
Second Line :
City : SEATTLE
State : WA
Zip : 98102-3010
Country : US
Telephone Number : 206-729-1405
Fax Number : 206-257-0076
Authorized Official
Title or Position : OWNER DIRECTOR
Name : JULIE M JOHNSON
Credential :
Telephone Number : 206-729-1405
Provider Enumeration Date : 02/15/2008
Last Update Date : 03/04/2009

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Directions to “SEATTLE ORTHOPEDIC & SPORTS PHYSICAL THERAPY, INC. ” Practice Location

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