Healthcare Provider Details

I. General information

NPI: 1295981439
Provider Name (Legal Business Name): VELOCITY PHYSIOTHERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2008
Last Update Date: 12/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N 34TH ST SUITE 300
SEATTLE WA
98103-8600
US

IV. Provider business mailing address

1037 NE 65TH ST # 115
SEATTLE WA
98115-6655
US

V. Phone/Fax

Practice location:
  • Phone: 206-905-8575
  • Fax: 206-905-8554
Mailing address:
  • Phone: 206-905-8575
  • Fax: 253-905-8554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT00009466
License Number StateWA

VIII. Authorized Official

Name: HENRY LI HEN LU
Title or Position: OWNER
Credential: PT
Phone: 206-905-8575