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General NPI Number Information
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NPI Number | 1700649142
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Entity Type | Individual
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Provider Name | MANDY MACSKIMMING PT
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Gender | Female
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Dates
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Enumeration Date | 01/30/2024
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 16251 SYLVESTER RD SW
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City | BURIEN
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State | WA
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Zip | 98166-3017
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Country | US
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Telephone | 206-248-4639
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Fax |
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Provider Business Mailing Address
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Address Line | 4040 26TH AVE SW APT 111
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City | SEATTLE
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State | WA
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Zip | 98106-1267
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Country | US
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Telephone | 513-504-4716
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PT61503221
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License Number State | WA
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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 | PT018625
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License Number State | OH
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