MEDICARE: EVERY BODY MOVES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1003373150
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVERY BODY MOVES, LLC

Provider Business Mailing Address
First Line	:	5238 57TH AVE S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-2517
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5238 57TH AVE S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-2517
Country	:	US
Telephone Number	:	206-618-5632
Fax Number	:

Authorized Official
Title or Position	:	OCCUPATIONAL THERAPIST
Name	:	ANNASTASSIA NELSON
Credential	:	MS, OTR/L
Telephone Number	:	206-618-5632

Provider Enumeration Date	:	02/25/2019
Last Update Date	:	02/25/2019

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