Healthcare Provider Details

I. General information

NPI: 1891123139
Provider Name (Legal Business Name): SOUND BODIES AT HOME, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2013
Last Update Date: 10/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18938 DIVISION AVE NE
SUQUAMISH WA
98392-9723
US

IV. Provider business mailing address

18938 DIVISION AVE NE
SUQUAMISH WA
98392-9723
US

V. Phone/Fax

Practice location:
  • Phone: 360-731-2657
  • Fax: 360-930-8318
Mailing address:
  • Phone: 360-731-2657
  • Fax: 360-930-8318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License NumberPT00006795
License Number StateWA

VIII. Authorized Official

Name: SASKIA POSTMA
Title or Position: MEMBER, MANAGER
Credential: PT, CSCS
Phone: 360-731-2657