Individual
MELISSA JANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST A
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 277-6071
Mailing address
14826 88TH AVE NE, KENMORE, WA 98028-4716
(425) 269-3354
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160258442
WA
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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