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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