Healthcare Provider Details

I. General information

NPI: 1053912931
Provider Name (Legal Business Name): PT4ALL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2020
Last Update Date: 11/05/2020
Certification Date: 11/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2130 N 114TH ST
SEATTLE WA
98133-8507
US

IV. Provider business mailing address

2130 N 114TH ST
SEATTLE WA
98133-8507
US

V. Phone/Fax

Practice location:
  • Phone: 206-713-2625
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: GREGORY LOUIE
Title or Position: OWNER
Credential: DPT
Phone: 206-713-2625