Madrona Physical Therapy, PLLC
Physical Therapist in Tacoma, WA. Organization (NPI-2).
NPI number1104593151
StatusActive
Last updated in NPPESAug 26, 2021
Details
- NPI
- 1104593151
- Entity type
- Organization (NPI-2)
- Legal business name
- Madrona Physical Therapy, PLLC
- Organization subpart
- No
- Enumeration date
- Aug 26, 2021
- Certification date
- Aug 26, 2021
- Last updated
- Aug 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Other names
- Madrona Physical Therapy, PLLC (Doing Business As)
Practice location
4701 S 19th St Ste 100Tacoma, WA 98405-1199
Phone 253-212-3620 · Fax 253-301-2088
Mailing address
4701 S 19th St Ste 100Tacoma, WA 98405-1199
Phone 253-212-3620 · Fax 253-301-2088
Authorized official
Angela Maxwell
Clinic Director
2532123620
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