Individual
MR. JAMES C FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
31200 23RD AVE SOUTH, FEDERAL WAY, WA 98003
(253) 839-3403
(253) 839-3412
Mailing address
PO BOX 6225, FEDERAL WAY, WA 98063
(253) 839-3403
(253) 839-3412
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT3076
WA
225100000X
Physical Therapist
Primary
—
—
2251G0304X
Geriatric Physical Therapist
PT3076
WA
2251G0304X
Geriatric Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7096167
—
WA
01
—
G8870695
MEDICARE PTAN
WA
Enumeration date
07/26/2005
Last updated
06/09/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us