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General NPI Number Information
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NPI Number | 1609105071
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Entity Type | Organization
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Legal Business Name | RELAX THERAPY
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Dates
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Enumeration Date | 12/15/2009
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Last Update Date | 12/15/2009
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Provider Practice Location Address
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Address Line | 5021 COLORADO AVE S
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City | SEATTLE
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State | WA
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Zip | 98134-2404
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Country | US
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Telephone | 206-763-0352
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Fax | 206-763-0352
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Provider Business Mailing Address
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Address Line | 1605 SW 165TH ST
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City | BURIEN
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State | WA
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Zip | 98166-2743
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Country | US
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Telephone | 206-850-7508
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Fax | 206-763-0352
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | MS. SHERRYL LYNN DEVRIES
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Credential | MSPT
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Telephone | 206-850-7508
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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 | PT00008215
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License Number State | WA
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