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General NPI Number Information
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NPI Number | 1891123139
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Entity Type | Organization
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Legal Business Name | SOUND BODIES AT HOME, LLC
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Dates
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Enumeration Date | 10/24/2013
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Last Update Date | 10/24/2013
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Provider Practice Location Address
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Address Line | 18938 DIVISION AVE NE
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City | SUQUAMISH
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State | WA
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Zip | 98392-9723
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Country | US
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Telephone | 360-731-2657
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Fax | 360-930-8318
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Provider Business Mailing Address
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Address Line | 18938 DIVISION AVE NE
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City | SUQUAMISH
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State | WA
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Zip | 98392-9723
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Country | US
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Telephone | 360-731-2657
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Fax | 360-930-8318
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Authorized Official
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Title or Position | MEMBER, MANAGER
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Name | SASKIA POSTMA
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Credential | PT, CSCS
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Telephone | 360-731-2657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | PT00006795
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License Number State | WA
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