Woodland Creek Physical Therapy Llc in Lacey - Specialist
Woodland Creek Physical Therapy Llc - NPI 1578640124
Woodland Creek Physical Therapy Llc is a Specialist in Lacey, Washington. Woodland Creek Physical Therapy Llc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Woodland Creek Physical Therapy Llc is 1578640124. The last update date is 2014-05-19.
Woodland Creek Physical Therapy Llc's current location address is 5205 Corporate Center Ct Se, Lacey, Washington. You can contact this provider via phone number 3604121368 and fax number 3604121391. The mailing address for Woodland Creek Physical Therapy Llc is 5205 Corporate Center Ct Se, Lacey, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Woodland Creek Physical Therapy Llc |
|---|---|
| Address | 5205 Corporate Center Ct Se, Lacey, Washington |
| Phone Number | 3604121368 |
| Fax Number | 3604121391 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ensign O. Scott |
| Credentials | MPT, JSCC |
| Telephone Number | 3604121367 |
NPI Number Detail
| NPI Number | 1578640124 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2014-05-19 |
Provider Mailing Address Detail
| Address | 5205 Corporate Center Ct Se |
|---|---|
| City | Lacey |
| State | Washington (WA) |
| Post Code | 985035901 |
| Phone Number | 3604121368 |
| Fax Number | 3604121391 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 602 027 552 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7102437 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Woodland Creek Physical Therapy Llc by the Centers for Medicare & Medicaid Services?
The Woodland Creek Physical Therapy Llc has been issued the NPI (National Provider Identifier) 1578640124 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Woodland Creek Physical Therapy Llc is located?
The Woodland Creek Physical Therapy Llc is situated at the following address: 5205 Corporate Center Ct Se, Lacey, WA, 985035901.
What is Woodland Creek Physical Therapy Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Woodland Creek Physical Therapy Llc's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1578640124 to Woodland Creek Physical Therapy Llc?
The Woodland Creek Physical Therapy Llc received its 1578640124 assignment from the Centers for Medicare & Medicaid Services on 2006-11-01.
As of what date were the details pertaining to Woodland Creek Physical Therapy Llc last refreshed?
The information related to the Woodland Creek Physical Therapy Llc, including its address, specialty, and other relevant details, was last updated on 2014-05-19.