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NPI Code Detail

MEDICARE: MICHAEL WESTBROOKS DPT

MEDICARE: MICHAEL WESTBROOKS 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
12251X0800XOrthopedic Physical Therapist60849176WA

General Provider Information

NPI Number : 1366925075
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL WESTBROOKS DPT
Provider Business Mailing Address
First Line : 2235 MAINE CT
Second Line :
City : NORTH BEND
State : OR
Zip : 97459-1665
Country : US
Telephone Number : 309-798-7536
Fax Number :
Provider Business Practice Location Address
First Line : 1445 NW MALL ST
Second Line :
City : ISSAQUAH
State : WA
Zip : 98027-7900
Country : US
Telephone Number : 425-391-9211
Fax Number : 425-391-9545
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2018
Last Update Date : 09/09/2018

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