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NPI Code Detail

MEDICARE: MELANIE A GULISH MSPT

MEDICARE: MELANIE A GULISH MSPT
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
1225100000XPhysical TherapistPT00008189WA

General Provider Information

NPI Number : 1083674816
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE A GULISH MSPT
Provider Business Mailing Address
First Line : PO BOX 731269
Second Line :
City : PUYALLUP
State : WA
Zip : 98373-0060
Country : US
Telephone Number : 253-840-2313
Fax Number : 253-840-6340
Provider Business Practice Location Address
First Line : 5605 100TH ST SW
Second Line : SUITE B
City : LAKEWOOD
State : WA
Zip : 98499-2710
Country : US
Telephone Number : 253-284-9800
Fax Number : 253-284-9801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 07/08/2007

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Directions to “ MELANIE A GULISH MSPT” Practice Location

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