MEDICARE: TINA ALLEN PT

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	225100000X	Physical Therapist	PT00007267	WA

General Provider Information

NPI Number	:	1114980117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TINA ALLEN PT

Provider Business Mailing Address
First Line	:	1959 NE PACIFIC ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98195-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1536 N 115TH ST STE 320
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98133-8400
Country	:	US
Telephone Number	:	206-668-4477
Fax Number	:	206-598-4484

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	10/18/2022

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Directions to “ TINA ALLEN PT” Practice Location

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