Boundless Therapy, PLLC
Physical Therapist in Lake Stevens, WA. Organization (NPI-2).
NPI number1013592005
StatusActive
Last updated in NPPESFeb 26, 2024
Details
- NPI
- 1013592005
- Entity type
- Organization (NPI-2)
- Legal business name
- Boundless Therapy, PLLC
- Organization subpart
- No
- Enumeration date
- Mar 11, 2021
- Certification date
- Feb 26, 2024
- Last updated
- Feb 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 225X00000X | Occupational Therapist | – | – |
Other names
- Boundless Physical Therapy (Doing Business As)
Practice location
1709 124th Ave NeLake Stevens, WA 98258-9814
Phone 360-347-6238
Mailing address
1709 124th Ave NePo Box 341
Lake Stevens, WA 98258
Authorized official
Alexander W Szewczyk
Physical Therapist/Owner
3603476238
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