Organization
AURORA VILLAGE PHYSICAL THERAPY, INC
Active
Organization
AURORA VILLAGE PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN KEITH CLUTE PHYISCAL THERAPIST (OWNER)
(206) 542-1986
Entity
Organization
Contact information
Practice address
1207 N 200TH ST, 103, SHORELINE, WA 98133-3213
(206) 542-1986
(206) 542-1144
Mailing address
1207 N 200TH ST, 103, SHORELINE, WA 98133-3213
(206) 542-1986
(206) 542-1144
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003503
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0148810
LABOR AND INDUSTRIES
WA
01
—
242772700
ACS
WA
01
—
7061617
SOCIAL & HEALTH SERVICES
WA
Enumeration date
11/16/2006
Last updated
08/19/2016
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