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NPI Code Detail

MEDICARE: DR. MICHELLE SLAUGHTER DPT

MEDICARE: DR. MICHELLE SLAUGHTER DPT
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 TherapistPT 60265736WA

General Provider Information

NPI Number : 1215285663
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELLE SLAUGHTER DPT
Provider Business Mailing Address
First Line : 3429 FREMONT N AVE 305
Second Line :
City : SEATTLE
State : WA
Zip : 98103-8811
Country : US
Telephone Number : 206-300-2452
Fax Number : 206-547-5298
Provider Business Practice Location Address
First Line : 1630 43RD AVE E
Second Line :
City : SEATTLE
State : WA
Zip : 98112-6210
Country : US
Telephone Number : 206-329-0770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2012
Last Update Date : 08/03/2015

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Directions to “ DR. MICHELLE SLAUGHTER DPT” Practice Location

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