Organization
ABC PHYSICAL THERAPY
Active
Other names
Alternative Back Care Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER NOEL FORD MPT (OWNER)
(253) 564-2220
Entity
Organization
Contact information
Practice address
2315 6TH AVE., TACOMA, WA 98403-1050
(253) 564-2220
(253) 564-2221
Mailing address
2315 6TH AVE., TACOMA, WA 98403-1050
(253) 564-2220
(253) 564-2221
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
PT00006703
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0147781
DEPARTMENT OF L&I
WA
01
—
2063203001
CIGNA
WA
01
—
5356FO
REGENCE BLUE SHIELD
WA
01
—
7106180
DSHS
WA
05
—
7106180
—
WA
01
—
7189050
AETNA
WA
Enumeration date
05/26/2006
Last updated
10/30/2023
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