Organization
INTEGRATED MANUAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD J ELDER MS, ATC (OFFICE MANAGER)
(206) 362-5255
Entity
Organization
Contact information
Practice address
18021 15TH AVE NE, SUITE 201, SHORELINE, WA 98155-3809
(206) 362-5255
(206) 362-5260
Mailing address
18021 15TH AVE NE, SUITE 201, SHORELINE, WA 98155-3809
(206) 362-5255
(206) 362-5260
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
PT00000735
WA
2251X0800X
Orthopedic Physical Therapist
PT00003039
WA
2251X0800X
Orthopedic Physical Therapist
PT00005030
WA
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/12/2006
Last updated
09/11/2025
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