Healthcare Provider Details
I. General information
NPI: 1609858299
Provider Name (Legal Business Name): PHILIP J ARMIGER MPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/18/2005
Last Update Date: 12/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9725 3RD AVE NE
SEATTLE WA
98115-2060
US
IV. Provider business mailing address
9725 3RD AVE NE
SEATTLE WA
98115-3721
US
V. Phone/Fax
- Phone: 206-706-7500
- Fax: 206-706-7890
- Phone: 206-706-7500
- Fax: 206-706-7890
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | PT00006299 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251S0007X |
| Taxonomy | Sports Physical Therapist |
| License Number | PT00006299 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: