Organization
COLUMBIA PHYSICAL THERAPY SERVICES, INC,
Active
Parent organization
COLUMBIA PHYSICAL THERAPY SERVICES, INC,
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLUMBIA PHYSICAL THERAPY SERVICES, INC,
Authorized official
MR. BRUCE GARY CLAYTON PHYSICAL THERAPIST (PHYSICAL THERAPIST)
(206) 722-2205
Entity
Organization
Contact information
Practice address
3207 RAINIER AVE S, SEATTLE, WA 98144-6031
(206) 722-2205
(206) 722-5457
Mailing address
3207 RAINIER AVE S, SEATTLE, WA 98144-6031
(206) 722-2205
(206) 722-5457
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT00002391
WA
261QP2000X
Physical Therapy Clinic/Center
PT00002400
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0072973
WA STATE LABOR & INDUSTRI
WA
05
—
7004690
—
WA
01
—
8918108
WASHINGTON STATE CRIME VI
WA
Enumeration date
08/05/2007
Last updated
10/07/2014
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