Suzette Florence Madson in Bellevue - Sports
Suzette Florence Madson - NPI 1902969678
Suzette Florence Madson is a Sports in Bellevue, Washington. Suzette Florence Madson practices all healthcare services and medical treatments related to Sports. The NPI Number for Suzette Florence Madson is 1902969678. The last update date is 2007-07-08.
Suzette Florence Madson's current location address is Po Box 6175, Bellevue, Washington. You can contact this provider via phone number 4256430373 and fax number 4257476367. The mailing address for Suzette Florence Madson is Po Box 6175, Bellevue, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Suzette Florence Madson |
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Address | Po Box 6175, Bellevue, Washington |
Phone Number | 4256430373 |
Fax Number | 4257476367 |
Sole Proprietor | Y |
Credentials | PT |
NPI Number Detail
NPI Number | 1902969678 |
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Provider Enumeration Date | 2006-12-18 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | Po Box 6175 |
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City | Bellevue |
State | Washington (WA) |
Post Code | 980080175 |
Phone Number | 4256430373 |
Fax Number | 4257476367 |
Provider's Primary Taxonomy Detail
Speciality | Sports |
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Taxonomy | 2251S0007X |
Licence No | 025208 PT000 |
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
MA0471 | WA | REGENCE BLUE SHIELD | |
112243 | WA | LABOR AND INDUSTRIES |
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What is the Suzette Florence Madson's unique identification number?
The Suzette Florence Madson has been assigned the NPI (National Provider Identifier) Number 1902969678 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Suzette Florence Madson located?
The Suzette Florence Madson is located at Po Box 6175, Bellevue, WA 980080175.
What is the Suzette Florence Madson's specialty and taxonomy code?
The Suzette Florence Madson's specialty is Sports, and the corresponding taxonomy code is 2251S0007X.
On what date did the Suzette Florence Madson receive the assignment of its 1902969678 from the Centers for Medicare & Medicaid Services?
The Suzette Florence Madson was issued its 1902969678 by the Centers for Medicare & Medicaid Services on 2006-12-18.
As of what date was the information regarding Suzette Florence Madson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Suzette Florence Madson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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