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General NPI Number Information
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NPI Number | 1487519740
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Entity Type | Organization
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Legal Business Name | ROOT PHYSICAL THERAPY
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 6332 6TH AVE S
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City | SEATTLE
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State | WA
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Zip | 98108-3436
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Country | US
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Telephone | 843-810-7950
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Fax |
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Provider Business Mailing Address
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Address Line | 6332 6TH AVE S
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City | SEATTLE
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State | WA
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Zip | 98108-3436
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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 | ADMINISTRATIVE STAFF
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Name | DESIRAE SOLTERO-FARIAS
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Credential |
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Telephone | 310-867-1767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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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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