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General NPI Number Information
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NPI Number | 1154764256
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Entity Type | Organization
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Legal Business Name | MOBILIZE PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 04/09/2013
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 3515 NE 45TH ST
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City | SEATTLE
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State | WA
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Zip | 98105-5640
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Country | US
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Telephone | 206-402-5483
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Fax | 206-299-0962
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Provider Business Mailing Address
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Address Line | 3515 NE 45TH ST
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City | SEATTLE
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State | WA
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Zip | 98105-5640
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Country | US
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Telephone | 206-402-5483
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Fax | 206-299-0962
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Authorized Official
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Title or Position | OWNER
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Name | KELCY LEE
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Credential | DPT
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Telephone | 206-402-5483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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