Organization
ELITE PHYSICAL THERAPY
Active
Organization
ELITE PHYSICAL THERAPY
Active
Other names
Edge Phyiscal Therapy & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
SHILPA PATEL DPT (MEMBER)
(630) 730-5693
Entity
Organization
Contact information
Practice address
37624 SE FURY ST, SUITE C201, SNOQUALMIE, WA 98065-9680
(630) 730-5693
Mailing address
37624 SE FURY ST, STE C201, SNOQUALMIE, WA 98065-9680
(425) 941-9756
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0010762
WA
225700000X
Massage Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
00009462
WA
261QP2000X
Physical Therapy Clinic/Center
00010762
WA
Other
Enumeration date
12/01/2012
Last updated
02/04/2013
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