Healthcare Provider Details

I. General information

NPI: 1124632609
Provider Name (Legal Business Name): UPWARD PHYSICAL THERAPY AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2020
Last Update Date: 09/28/2020
Certification Date: 09/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4027 LEARY WAY NW
SEATTLE WA
98107-5045
US

IV. Provider business mailing address

6507 GREENWOOD AVE N
SEATTLE WA
98103-5223
US

V. Phone/Fax

Practice location:
  • Phone: 206-580-3670
  • Fax:
Mailing address:
  • Phone:
  • 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: ANNA FRIEDMAN
Title or Position: OWNER/PT
Credential:
Phone: 206-465-6836