Randy A Notebloom is a Sports in Seattle, Washington. Randy A Notebloom practices all healthcare services and medical treatments related to Sports. The NPI Number for Randy A Notebloom is 1407993553. The last update date is 2008-04-09.
Randy A Notebloom's current location address is 1100 Olive Way Msc M4-pa, Seattle, Washington. You can contact this provider via phone number 2065155811. The mailing address for Randy A Notebloom is 1100 Olive Way Msc M4-pa, Seattle, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randy A Notebloom |
|---|---|
| Address | 1100 Olive Way Msc M4-pa, Seattle, Washington |
| Phone Number | 2065155811 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1407993553 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2008-04-09 |
Provider Mailing Address Detail
| Address | 1100 Olive Way Msc M4-pa |
|---|---|
| City | Seattle |
| State | Washington (WA) |
| Post Code | 981011873 |
| Phone Number | 2065155811 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | PT00003291 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NO5497 | WA | BLUE SHIELD # | |
| US1051973 | WA | AETNA SPECIALIST PIN | |
| 39585 | WA | LABOR AND INDUSTRIES # | |
| 8342677 | WA | -- | |
| P00079877 | WA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Randy A Notebloom by the Centers for Medicare & Medicaid Services?
The Randy A Notebloom has been issued the NPI (National Provider Identifier) 1407993553, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Randy A Notebloom's facilities are situated?
The facilities of Randy A Notebloom are physically located at the following address: 1100 Olive Way Msc M4-Pa, Seattle, WA, 981011873.
What is the Randy A Notebloom's specialty and taxonomy code?
The Randy A Notebloom's specialty is Sports, and the corresponding taxonomy code is 2251S0007X.
On what date did Randy A Notebloom receive its 1407993553 assignment from the Centers for Medicare & Medicaid Services?
The Randy A Notebloom was assigned its 1407993553 on 2007-01-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Randy A Notebloom, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Randy A Notebloom, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-09.