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MAPLE VALLEY PHYSICAL THERAPY INC. NPI 1790968766


NPI Information

NPI: 1790968766
Provider Name: MAPLE VALLEY PHYSICAL THERAPY, INC.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
23870 SE KENT KANGLEY RD
MAPLE VALLEY, WA
ZIP 98038
Phone: (425) 432-1671
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MAPLE VALLEY PHYSICAL THERAPY, INC. is a specialist in Maple Valley, WA. The provider is 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. MAPLE VALLEY PHYSICAL THERAPY, INC. NPI is 1790968766. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

23870 SE KENT KANGLEY RD
MAPLE VALLEY, WA
ZIP 98038-848
Phone: (425) 432-1671
Fax: (425) 432-1677

The provider's authorized official is Clifford John Richards .
The authorized official title is Owner and has the following contact phone number (425) 432-1671.

The enumeration date for this NPI number is 12/12/2007 and was last updated on 4/13/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist5147WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1609471200OTHERWASHINGTONOWCP
20165RIOTHERWASHINGTONREGENCE
3P00279139OTHERWASHINGTONRAILROAD MEDICARE
45147OTHERWASHINGTONUPIN
5G8850410MEDICARE UPINWASHINGTON
60191071OTHERWASHINGTONL&I
7G8850411MEDICARE PINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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