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General NPI Number Information
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NPI Number | 1619478906
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Entity Type | Organization
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Legal Business Name | BODY MOTION PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 02/22/2018
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Last Update Date | 02/28/2022
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Provider Practice Location Address
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Address Line | 320 DAYTON ST STE 201
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City | EDMONDS
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State | WA
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Zip | 98020-3590
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Country | US
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Telephone | 425-583-0727
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Fax | 425-276-9933
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Provider Business Mailing Address
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Address Line | 320 DAYTON ST STE 201
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City | EDMONDS
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State | WA
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Zip | 98020-3590
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Country | US
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Telephone | 425-582-0727
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Fax |
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Authorized Official
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Title or Position | OWNER AND PHYSICAL THERAPIST
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Name | DR. ALLISON RUSHING FELDT
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Credential | DPT
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Telephone | 206-715-7969
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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 | PT60284872
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License Number State | WA
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