NPI Code Details Logo

NPI 1265314868

NPI 1265314868 : TWIN CITY PHYSICAL THERAPY PLLC : BURLINGTON, WA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1265314868
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    TWIN CITY PHYSICAL THERAPY PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/23/2025
-----------------------------------------------------
    Last Update Date     |    07/23/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    311 N SPRUCE ST 
-----------------------------------------------------
    City                 |    BURLINGTON
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    98233-1129
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    360-770-2881
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    8421 280TH ST NW 
-----------------------------------------------------
    City                 |    STANWOOD
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    98292-7438
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    360-770-2881
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PHYSICAL THERAPIST
-----------------------------------------------------
    Name                 |     KRISTIN  CRANDALL 
-----------------------------------------------------
    Credential           |    DPT
-----------------------------------------------------
    Telephone            |    360-770-2881
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QP2000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapy Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.