MEDICARE: RELAX 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
1	225100000X	Physical Therapist	PT00008215	WA

General Provider Information

NPI Number	:	1609105071
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RELAX THERAPY

Provider Business Mailing Address
First Line	:	1605 SW 165TH ST
Second Line	:
City	:	BURIEN
State	:	WA
Zip	:	98166-2743
Country	:	US
Telephone Number	:	206-850-7508
Fax Number	:	206-763-0352

Provider Business Practice Location Address
First Line	:	5021 COLORADO AVE S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98134-2404
Country	:	US
Telephone Number	:	206-763-0352
Fax Number	:	206-763-0352

Authorized Official
Title or Position	:	OWNER/PHYSICAL THERAPIST
Name	:	MS. SHERRYL LYNN DEVRIES
Credential	:	MSPT
Telephone Number	:	206-850-7508

Provider Enumeration Date	:	12/15/2009
Last Update Date	:	12/15/2009

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Directions to “RELAX THERAPY ” Practice Location

Language	Start Address	Practice Location

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