MEDICARE: MS. ANDREA C MOHRLE MSPT JSCC

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	PT00007852	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0147413	OTHER	WA	LABOR & INDUST

General Provider Information

NPI Number	:	1124007885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANDREA C MOHRLE MSPT JSCC

Provider Business Mailing Address
First Line	:	1801 W BAY DR NW STE 208B
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98502-4310
Country	:	US
Telephone Number	:	360-456-4798
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 W BAY DR NW STE 208B
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98502-4310
Country	:	US
Telephone Number	:	360-456-4798
Fax Number	:

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

Provider Enumeration Date	:	01/11/2006
Last Update Date	:	07/21/2022

Similar Medicare Providers

1962498865 — KRISTIN R DUENOW LMHC
Practice Location Address:

1801 W BAY DR NW
OLYMPIA, WA
98502-4310

Practice Phone: 406-670-2761
Practice Fax:

1639188824 — PATRICIA RUTH SYLWESTER MD
Practice Location Address:

1801 W BAY DR NW , SUITE 208A
OLYMPIA, WA
98502-4310

Practice Phone: 360-870-8616
Practice Fax: 360-208-0620

1114005584 — DR. DAVID EUGENE PENNER MD
Practice Location Address:

1801 W BAY DR NW STE 104
OLYMPIA, WA
98502-4310

Practice Phone: 360-539-1736
Practice Fax: 360-350-5610

1487980918 — HOLLY GLENNON RN, LMP, CERTIFIED R
Practice Location Address:

1801 W BAY DR NW STE 208-B
OLYMPIA, WA
98502-4310

Practice Phone: 360-528-0683
Practice Fax:

1689934309 — CAREY V LASLEY DDS PLLC
Practice Location Address:

1801 W BAY DR NW , STE 101A
OLYMPIA, WA
98502-4310

Practice Phone: 360-866-9500
Practice Fax: 360-866-9490

1407440001 — DAVID PENNER MD PLLC
Practice Location Address:

1801 W BAY DR NW STE 104
OLYMPIA, WA
98502-4310

Practice Phone: 360-539-1736
Practice Fax: 360-350-5610

Directions to “ MS. ANDREA C MOHRLE MSPT JSCC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.