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NPI Code Detail

MEDICARE: PATRICIA SHIPE

MEDICARE:   PATRICIA  SHIPE
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
1225200000XPhysical Therapy AssistantP160033916WA

General Provider Information

NPI Number : 1225429814
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA SHIPE
Provider Business Mailing Address
First Line : 10505 19TH AVE SE
Second Line : SUITE B
City : EVERETT
State : WA
Zip : 98208-4280
Country : US
Telephone Number : 408-570-0510
Fax Number : 408-945-4018
Provider Business Practice Location Address
First Line : 507 W STEVENS AVE
Second Line : SUITE E
City : SULTAN
State : WA
Zip : 98294-9453
Country : US
Telephone Number : 360-799-0958
Fax Number : 360-799-0623
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2015
Last Update Date : 02/18/2015

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Directions to “ PATRICIA SHIPE ” 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.