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NPI Code Detail

MEDICARE: OWL JAMES SCAREY LMT

MEDICARE: OWL JAMES SCAREY LMT
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
1172M00000XMechanotherapistMA60582381WA

General Provider Information

NPI Number : 1760856082
Entity Type Code : Individual
Provider Name (Legal Business Name) : OWL JAMES SCAREY LMT
Provider Business Mailing Address
First Line : 417 E PINE ST.
Second Line : SUITE P
City : SEATTLE
State : WA
Zip : 98122-2378
Country : US
Telephone Number : 206-851-2242
Fax Number :
Provider Business Practice Location Address
First Line : 417 E PINE ST.
Second Line : SUITE P
City : SEATTLE
State : WA
Zip : 98122-2378
Country : US
Telephone Number : 206-851-2242
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2015
Last Update Date : 03/25/2024

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