Lake Sammamish Physical Therapy, Pllc in Bellevue - Dietitian, Registered
Lake Sammamish Physical Therapy, Pllc - NPI 1740407816
Lake Sammamish Physical Therapy, Pllc is a Dietitian, Registered in Bellevue, Washington. Lake Sammamish Physical Therapy, Pllc practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Lake Sammamish Physical Therapy, Pllc is 1740407816. The last update date is 2020-11-27.
Lake Sammamish Physical Therapy, Pllc's current location address is 11711 Ne 12th St Ste 3a, Bellevue, Washington. You can contact this provider via phone number 4254509474 and fax number 4254520704. The mailing address for Lake Sammamish Physical Therapy, Pllc is 11711 Ne 12th St Ste 3a, Bellevue, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Sammamish Physical Therapy, Pllc |
|---|---|
| Address | 11711 Ne 12th St Ste 3a, Bellevue, Washington |
| Phone Number | 4254509474 |
| Fax Number | 4254520704 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Diaz Dwan |
| Telephone Number | 4254509474 |
NPI Number Detail
| NPI Number | 1740407816 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2020-11-27 |
Provider Mailing Address Detail
| Address | 11711 Ne 12th St Ste 3a |
|---|---|
| City | Bellevue |
| State | Washington (WA) |
| Post Code | 980052461 |
| Phone Number | 4254509474 |
| Fax Number | 4254520704 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
|
Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39830 | WA | LABOR AND INDUSTRY |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Lake Sammamish Physical Therapy, Pllc by the Centers for Medicare & Medicaid Services?
The Lake Sammamish Physical Therapy, Pllc has been issued the NPI (National Provider Identifier) 1740407816 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Lake Sammamish Physical Therapy, Pllc is geographically located?
The Lake Sammamish Physical Therapy, Pllc is physically situated at the following location: 11711 Ne 12Th St Ste 3A, Bellevue, WA, 980052461.
What is the Lake Sammamish Physical Therapy, Pllc's area of specialization and corresponding taxonomy classification?
The Lake Sammamish Physical Therapy, Pllc's specialty field is Dietitian, Registered, and it falls under the taxonomy code 133V00000X, which categorizes healthcare providers based on their specialties.
On what date did the Lake Sammamish Physical Therapy, Pllc receive its 1740407816 assignment from the Centers for Medicare & Medicaid Services?
The Lake Sammamish Physical Therapy, Pllc was assigned its 1740407816 by the Centers for Medicare & Medicaid Services on 2007-04-19.
When was the information regarding Lake Sammamish Physical Therapy, Pllc most recently updated?
The details pertaining to the Lake Sammamish Physical Therapy, Pllc, including its address, specialty, and other relevant information, were last refreshed on 2020-11-27.
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