Organization
GREEN GRASS PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOUNDUS MACHTLEY PT, DPT, OCS, MTC (PRESIDENT)
(206) 910-9590
Entity
Organization
Contact information
Practice address
2319 N 45TH ST, SUITE 202, SEATTLE, WA 98103-6982
(206) 910-9590
Mailing address
2319 N 45TH ST, SUITE 202, SEATTLE, WA 98103-6982
(206) 910-9590
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT00010361
WA
Other
Enumeration date
01/04/2011
Last updated
05/05/2015
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