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

MRS. LAUREL ANDVIK BACKSTROM, P.T.

Active

MRS. LAUREL ANDVIK BACKSTROM, P.T. is a Physical Therapy Assistant healthcare provider located in LACEY, Washington. NPI 1790124311 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LACEY, WA

Registration Details

NPI Number
1790124311
Provider Type
Individual
Gender
Female
NPI Issued
Jun 17, 2013 (13.133516795686 yrs)
Last Updated
Jun 17, 2013
License
PT0000912 (WA)

Practice Information

Address
1450 NORTHWEST LN SE
SUITE B
LACEY, WA, 985036908
Browse WA providers · Browse ZIP 98503
Phone
3604565154
Fax
3604560844
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in LACEY, WA

Name Credential NPI
MRS. JENNIFER E PENROSE PT 1881696805
DAVID PAUL BLANCHARD PT 1770564486
MISS SCOTT O ENSIGN MPT JSCC 1205814266
MRS. DEBORAH MAY SIMONETTI PT 1841263530
MR. ROBERT E SCHMIDT JR. PT 1306813969
JENNIFER F EDWARDS MSPT 1306803853
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.