Organization
LFPPT INC
Active
Organization
LFPPT INC
Active
Other names
PhysioCare at Woodinville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY LYNN HENDERSON P.T. (OWNER/PRESIDENT)
(425) 402-9772
Entity
Organization
Contact information
Practice address
17644 140TH AVE NE, WOODINVILLE, WA 98072-6800
(425) 402-9772
(425) 402-9443
Mailing address
17644 140TH AVE NE, WOODINVILLE, WA 98072-6800
(425) 402-9772
(425) 402-9443
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0160454
LABOR & INDUSTRIES GROUP
WA
05
—
7114150
—
WA
Enumeration date
09/20/2006
Last updated
08/22/2020
Update your record
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