Engineered Sports Therapy
LBN: Kent Physical Therapy & Sports Performance Center Llc
Engineered Sports Therapy is an health care organization with primary practice located at 2205 Wall St , Everett WA 98201-3761. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty.
Kent Physical Therapy & Sports Performance Center Llc can be contacted via phone (425) 512-8695, or through Miller, Lance M. via phone (360) 852-4587.
Contact Information
Primary practice address
2205 Wall St
Everett WA 98201-3761
Phone: (425) 512-8695
Fax: (425) 512-8697
Website:
Authorized official contact:
Name: Miller, Lance M. Master of Physical Therapy (MPT)
Phone: (360) 852-4587
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X | PT00008062 | Washington |
Profile Details
| NPI number | 1013107549 |
|---|---|
| LBN Legal business name | Kent Physical Therapy & Sports Performance Center Llc |
| DBA Doing business as | Engineered Sports Therapy |
| Authorized official | Miller, Lance M. Master of Physical Therapy (MPT) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 31st, 2007 |
| Last updated | Aug 7th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013107549 | NPPES |
| Washington | Other | 0223987 | DEPT OF LABOR & INDUSTRY |
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