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NPI 1780114033

NPI 1780114033 : SEATTLE REHAB SPECIALISTS, INC. : SEATTLE, WA

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General NPI Number Information
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    NPI Number           |    1780114033
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    Entity Type          |    Organization 
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    Legal Business Name  |    SEATTLE REHAB SPECIALISTS, INC. 
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Dates
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    Enumeration Date     |    06/19/2017
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    Last Update Date     |    12/04/2025
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Provider Practice Location Address
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    Address Line         |    6108 ROOSEVELT WAY NE 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98115-6613
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    Country              |    US
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    Telephone            |    206-524-4977
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    Fax                  |    206-524-4340
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Provider Business Mailing Address
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    Address Line         |    6108 ROOSEVELT WAY NE 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98115-6613
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    Country              |    US
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    Telephone            |    206-524-4977
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    Fax                  |    206-524-4340
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     KELLY  VANHOVE 
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    Credential           |    PT, DPT, MS, ATC
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    Telephone            |    602-300-9273
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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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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