Stacey A Ellingson in Bothell - Physical Therapist
Stacey A Ellingson - NPI 1104001452
Stacey A Ellingson is a Physical Therapist in Bothell, Washington. Stacey A Ellingson practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Stacey A Ellingson is 1104001452. The last update date is 2018-04-04.
Stacey A Ellingson's current location address is 12900 Ne 180th St Ste 110, Bothell, Washington. You can contact this provider via phone number 4254834270 and fax number 4254834268. The mailing address for Stacey A Ellingson is 12900 Ne 180th St Ste 110, Bothell, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey A Ellingson |
|---|---|
| Address | 12900 Ne 180th St Ste 110, Bothell, Washington |
| Phone Number | 4254834270 |
| Fax Number | 4254834268 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1104001452 |
|---|---|
| Provider Enumeration Date | 2008-01-07 |
| Last Updated Date | 2018-04-04 |
Provider Mailing Address Detail
| Address | 12900 Ne 180th St Ste 110 |
|---|---|
| City | Bothell |
| State | Washington (WA) |
| Post Code | 980115773 |
| Phone Number | 4254834270 |
| Fax Number | 4254834268 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT00010820 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Stacey A Ellingson by the Centers for Medicare & Medicaid Services?
The Stacey A Ellingson has been assigned the NPI (National Provider Identifier) 1104001452 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Stacey A Ellingson's facilities are situated?
The facilities of Stacey A Ellingson are physically located at the following address: 12900 Ne 180Th St Ste 110, Bothell, WA, 980115773.
What is Stacey A Ellingson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stacey A Ellingson's area of specialization is Physical Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225100000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104001452 to Stacey A Ellingson?
The Centers for Medicare & Medicaid Services assigned the 1104001452 to Stacey A Ellingson on 2008-01-07.
As of what date was the information regarding Stacey A Ellingson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Stacey A Ellingson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-04-04.
NPI Number: 1215930425
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