Organization
ADELINE PHYSICAL THERAPY PLLC
Active
Other names
Adeline Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
COLIN KENDALL MCDANNEL PT, DPT (OWNER)
(253) 256-5505
Entity
Organization
Contact information
Practice address
1429 20TH AVE SW, PUYALLUP, WA 98371-7301
(253) 256-5505
Mailing address
1429 20TH AVE SW, PUYALLUP, WA 98371-7301
(253) 256-5505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251E1200X
Ergonomics Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251H1300X
Human Factors Physical Therapist
Primary
—
—
2251S0007X
Sports Physical Therapist
—
—
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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