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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MOUNTLAKE SPORTS & PHYSICAL THERAPY PS

Active Organization

MOUNTLAKE SPORTS & PHYSICAL THERAPY PS is a Physical Therapy Assistant organization located in EVERETT, Washington. NPI 1528331402 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · EVERETT, WA

Registration Details

NPI Number
1528331402
Provider Type
Organization
NPI Issued
Feb 22, 2012 (14.497861188825 yrs)
Last Updated
Feb 22, 2012
Licenses
PT60178380 (WA)
MA00018299 (WA)
MA00015079 (WA)
PT00003917 (WA)

Practice Information

Address
9505 19TH AVE SE
101
EVERETT, WA, 982083853
Browse WA providers · Browse ZIP 98208
Phone
4253798120
Fax
4253381789
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Massage Therapist
Additional Specialty
Massage Therapist
Additional Specialty
Physical Therapy Assistant
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.