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General NPI Number Information
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NPI Number | 1336925866
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Entity Type | Organization
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Legal Business Name | AFTERMATH AGENCY PLLC
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Dates
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Enumeration Date | 08/31/2023
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Last Update Date | 08/31/2023
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Provider Practice Location Address
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Address Line | 201 GALER ST APT 312
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City | SEATTLE
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State | WA
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Zip | 98109-5759
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Country | US
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Telephone | 206-550-8132
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Fax |
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Provider Business Mailing Address
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Address Line | 9812 235TH PL SW
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City | EDMONDS
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State | WA
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Zip | 98020-5634
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF PHYSICAL THERAPY
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Name | DR. KELSEY LYNN CRISPENO
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Credential | DPT
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Telephone | 206-550-8132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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