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Organization
THERAPY MANAGEMENT SERVICES, PLLC
Active
Organization
THERAPY MANAGEMENT SERVICES, PLLC
Active
Other names
Orthosport Physical Therapy, Orthosport, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DWAN AYALA (CREDENTIALING COORDINATOR)
(425) 450-9474
Entity
Organization
Contact information
Practice address
19217 36TH AVE W STE 102, LYNNWOOD, WA 98036-5751
(425) 670-9991
(425) 670-9995
Mailing address
11711 NE 12TH ST STE 3A, BELLEVUE, WA 98005-2461
(425) 450-9474
(425) 452-0704
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
10/13/2017
Last updated
10/27/2020
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