Healthcare Provider Details

I. General information

NPI: 1043457443
Provider Name (Legal Business Name): CONNECTABILITY SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2009
Last Update Date: 07/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

916 N 82ND ST
SEATTLE WA
98103-4322
US

IV. Provider business mailing address

916 N 82ND ST
SEATTLE WA
98103-4322
US

V. Phone/Fax

Practice location:
  • Phone: 206-428-1964
  • Fax: 206-706-9349
Mailing address:
  • Phone: 206-428-1964
  • Fax: 206-706-9349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License NumberPT00009689
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License NumberOT00002596
License Number StateWA

VIII. Authorized Official

Name: MS. LISA A. LUSK
Title or Position: OWNER
Credential: OTR/L
Phone: 206-428-1964