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NPI Code Detail

MEDICARE: MR. KARL H HEDEEN PT

MEDICARE: MR. KARL H HEDEEN PT
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 TherapistPT00005004WA

General Provider Information

NPI Number : 1538112073
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KARL H HEDEEN PT
Provider Business Mailing Address
First Line : 27500 102ND AVE NW
Second Line : SUITE 1
City : STANWOOD
State : WA
Zip : 98292-8092
Country : US
Telephone Number : 360-629-9768
Fax Number : 360-629-7632
Provider Business Practice Location Address
First Line : 27500 102ND AVE NW
Second Line : SUITE 1
City : STANWOOD
State : WA
Zip : 98292-8092
Country : US
Telephone Number : 360-629-9768
Fax Number : 360-629-7632
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 02/18/2008

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Directions to “ MR. KARL H HEDEEN PT” Practice Location

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