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NPI 1053466136

NPI 1053466136 : ACTION REACTION PHYSICAL THERAPY, INC. : SEATTLE, WA

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General NPI Number Information
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    NPI Number           |    1053466136
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    Entity Type          |    Organization 
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    Legal Business Name  |    ACTION REACTION PHYSICAL THERAPY, INC. 
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Dates
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    Enumeration Date     |    01/25/2007
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    Last Update Date     |    06/26/2018
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Provider Practice Location Address
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    Address Line         |    2611 125TH ST STE. 90
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98125
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    Country              |    US
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    Telephone            |    206-523-6826
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    Fax                  |    206-523-6831
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Provider Business Mailing Address
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    Address Line         |    PO BOX #15754 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98115
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    Country              |    US
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    Telephone            |    206-523-6826
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    Fax                  |    206-523-6831
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. DZUKA  LIN 
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    Credential           |    P.T.
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    Telephone            |    206-523-6826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PT00008805
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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