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General NPI Number Information
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NPI Number | 1285244079
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Entity Type | Organization
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Legal Business Name | WELLNESS GROUP PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 08/06/2020
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 2007 152ND AVE NE SUITE W
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City | REDMOND
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State | WA
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Zip | 98052
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Country | US
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Telephone | 425-207-3476
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Fax | 425-207-3092
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Provider Business Mailing Address
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Address Line | 2007 152ND AVE NE STE W
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City | REDMOND
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State | WA
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Zip | 98052-5521
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Country | US
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Telephone | 425-207-3476
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Fax | 425-207-3092
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL SIM
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Credential | DPT
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Telephone | 206-787-2594
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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 |
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License Number State |
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