MEDICARE: WORKABLE SOLUTION, PS

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
1	261QR0400X	Rehabilitation Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	143244	OTHER	WA	L & I PROVIDER NUMBER

General Provider Information

NPI Number	:	1568592129
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WORKABLE SOLUTION, PS

Provider Business Mailing Address
First Line	:	6601 220TH ST SW STE 1
Second Line	:
City	:	MOUNTLAKE TERRACE
State	:	WA
Zip	:	98043-2166
Country	:	US
Telephone Number	:	425-775-7274
Fax Number	:	425-775-0963

Provider Business Practice Location Address
First Line	:	6601 220TH ST SW STE 1
Second Line	:
City	:	MOUNTLAKE TERRACE
State	:	WA
Zip	:	98043-2166
Country	:	US
Telephone Number	:	425-775-7274
Fax Number	:	425-775-0963

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ED FRYE
Credential	:	OTR/L
Telephone Number	:	425-775-7274

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	12/14/2011

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