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Organization
PRO MEDICAL PT
Active
Organization
PRO MEDICAL PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY HACK PT (OWNER)
(425) 861-6255
Entity
Organization
Contact information
Practice address
4455 148TH AVE NE, BELLEVUE, WA 98007-3120
(425) 861-6255
(425) 861-6277
Mailing address
4455 148TH AVE NE, BELLEVUE, WA 98007-3120
(425) 861-6255
(425) 861-6277
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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