Healthcare Provider Details
I. General information
NPI: 1831232651
Provider Name (Legal Business Name): ALLIANCE PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/14/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
22659 PACIFIC HWY S STE 201
DES MOINES WA
98198-5155
US
IV. Provider business mailing address
34507 PACIFIC HWY S STE 6
FEDERAL WAY WA
98003-6879
US
V. Phone/Fax
- Phone: 206-824-3668
- Fax: 206-824-3964
- Phone: 206-824-3668
- Fax: 206-824-3964
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251X0800X |
| Taxonomy | Orthopedic Physical Therapist |
| License Number | PT00009231 |
| License Number State | WA |
VIII. Authorized Official
Name:
KAREN
ROBBLEE
Title or Position: BUSINESS MANAGER
Credential:
Phone: 253-838-2464