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MARY K BROADWATER, P.T

Active

MARY K BROADWATER, P.T is a Physical Therapy Assistant healthcare provider located in SEATTLE, Washington. NPI 1386891505 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SEATTLE, WA

Registration Details

NPI Number
1386891505
Provider Type
Individual
Gender
Female
NPI Issued
Aug 19, 2008 (17.966591322632 yrs)
Last Updated
Jan 7, 2016
Licenses
35167 (CA)
PT60035309 (WA)

Practice Information

Address
100 NE NORTHLAKE WAY STE 200B
SEATTLE, WA, 981056869
Browse WA providers · Browse ZIP 98105
Phone
2065477445
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in SEATTLE, WA

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.