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NPI Code Detail

MEDICARE: COPPERSMITH PHYSICAL THERAPY

MEDICARE: COPPERSMITH PHYSICAL THERAPY
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
1261QP2000XPhysical Therapy Clinic/CenterPT00002380WA

General Provider Information

NPI Number : 1275711566
Entity Type Code : Organization
Provider Name (Legal Business Name) : COPPERSMITH PHYSICAL THERAPY
Provider Business Mailing Address
First Line : 5025 25TH AVE NE
Second Line : SUITE 201
City : SEATTLE
State : WA
Zip : 98105-4151
Country : US
Telephone Number : 206-524-6702
Fax Number : 206-524-6703
Provider Business Practice Location Address
First Line : 5025 25TH AVE NE
Second Line : SUITE 201
City : SEATTLE
State : WA
Zip : 98105-4151
Country : US
Telephone Number : 206-524-6702
Fax Number : 206-524-6703
Authorized Official
Title or Position : OWNER
Name : MS. PENNY S COPPERSMITH
Credential : PT
Telephone Number : 206-524-6702
Provider Enumeration Date : 02/08/2008
Last Update Date : 02/28/2008

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1528196441 — PENNY S COPPERSMITH P.T.
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1417281874 — MRS. ELIZABETH B SPINRAD DPT
Practice Location Address:
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Practice Fax: 206-524-6703

Directions to “COPPERSMITH PHYSICAL THERAPY ” Practice Location

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