Organization
WELLSPRING PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MERIANNE R JORDAN DPT (OWNER)
(253) 686-8033
Entity
Organization
Contact information
Practice address
33650 6TH AVE S, STE 100, FEDERAL WAY, WA 98003-6754
(253) 942-3308
(253) 237-0643
Mailing address
33650 6TH AVE S, STE 100, FEDERAL WAY, WA 98003-6754
(253) 942-3308
(253) 237-0643
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
PT00003078
WA
261QP2000X
Physical Therapy Clinic/Center
Primary
PT00007405
WA
261QP2000X
Physical Therapy Clinic/Center
PT00009213
WA
261QP2000X
Physical Therapy Clinic/Center
PT00009987
WA
Other
Enumeration date
09/20/2006
Last updated
05/20/2013
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