520 Physical Therapy, LLC
Clinic/Center, Physical Therapy in Bellevue, WA. Organization (NPI-2).
NPI number1740864982
StatusActive
Last updated in NPPESMay 12, 2021
Details
- NPI
- 1740864982
- Entity type
- Organization (NPI-2)
- Legal business name
- 520 Physical Therapy, LLC
- Organization subpart
- No
- Enumeration date
- May 12, 2021
- Certification date
- May 12, 2021
- Last updated
- May 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Other names
- Hidef Physical Therapy (Doing Business As)
Practice location
13112 Ne 20th St Ste 400Bellevue, WA 98005-2045
Phone 206-693-9929 · Fax 206-922-8909
Mailing address
26431 233rd Ave SeMaple Valley, WA 98038
Phone 206-693-9929
Authorized official
Walston Zachary Smith
Co-Owner
2066939929
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