Healthcare Provider Details

I. General information

NPI: 1932498441
Provider Name (Legal Business Name): SEATTLE PHYSICAL THERAPY SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2011
Last Update Date: 10/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 12TH AVE SUITE 101
SEATTLE WA
98122-2438
US

IV. Provider business mailing address

1820 12TH AVE SUITE 101
SEATTLE WA
98122-2438
US

V. Phone/Fax

Practice location:
  • Phone: 206-860-3746
  • Fax: 206-860-0343
Mailing address:
  • Phone: 206-860-3746
  • Fax: 206-860-0343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT0003959
License Number StateWA

VIII. Authorized Official

Name: MRS. KAREN LOUISE GREELEY
Title or Position: PHYSICAL THERAPIST
Credential: PT
Phone: 206-361-9683