Healthcare Provider Details

I. General information

NPI: 1841866175
Provider Name (Legal Business Name): ATLAS PHYSIOWORKS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2021
Last Update Date: 05/27/2021
Certification Date: 05/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13410 HIGHWAY 99 STE 205
EVERETT WA
98204-5454
US

IV. Provider business mailing address

13410 HIGHWAY 99 STE 205
EVERETT WA
98204-5454
US

V. Phone/Fax

Practice location:
  • Phone: 425-318-0551
  • Fax:
Mailing address:
  • Phone: 425-318-0551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DANNY A BEEMAN
Title or Position: PARTNER
Credential: MPT
Phone: 425-318-0551