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NPI Code Detail

MEDICARE: DRAYER PHYSICAL THERAPY INSTITUTE LLC

MEDICARE: DRAYER PHYSICAL THERAPY INSTITUTE LLC
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 Therapist

General Provider Information

NPI Number : 1720392525
Entity Type Code : Organization
Provider Name (Legal Business Name) : DRAYER PHYSICAL THERAPY INSTITUTE LLC
Provider Business Mailing Address
First Line : 486 228TH AVE NE
Second Line :
City : SAMMAMISH
State : WA
Zip : 98074-7209
Country : US
Telephone Number : 717-220-2100
Fax Number : 717-220-2131
Provider Business Practice Location Address
First Line : 486 228TH AVE NE
Second Line :
City : SAMMAMISH
State : WA
Zip : 98074-7209
Country : US
Telephone Number : 717-220-2100
Fax Number : 717-220-2131
Authorized Official
Title or Position : CEO
Name : LUKE A DRAYER
Credential :
Telephone Number : 717-220-2100
Provider Enumeration Date : 08/04/2010
Last Update Date : 08/04/2010

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Directions to “DRAYER PHYSICAL THERAPY INSTITUTE LLC ” Practice Location

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