MEDICARE: NANCY L. HIGGINS 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
1	225100000X	Physical Therapist	PT00003415	WA

General Provider Information

NPI Number	:	1629180088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY L. HIGGINS PT

Provider Business Mailing Address
First Line	:	19217 36TH AVE W
Second Line	:	SUITE 102
City	:	LYNNWOOD
State	:	WA
Zip	:	98036-5751
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	19217 36TH AVE W
Second Line	:	SUITE 102
City	:	LYNNWOOD
State	:	WA
Zip	:	98036-5751
Country	:	US
Telephone Number	:	425-670-9991
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/08/2007

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Directions to “ NANCY L. HIGGINS PT” Practice Location

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