Organization
EXPERIENCE MOMENTUM, INC - MILL CREEK
Active
Parent organization
EXPERIENCE MOMENTUM
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXPERIENCE MOMENTUM
Authorized official
RHODA CHAVEZ-NOWLAN (BILLING MANAGER, FINANCE)
(425) 776-0803
Entity
Organization
Contact information
Practice address
16709 9TH AVE SE, STE E, MILL CREEK, WA 98012
(425) 967-5605
(425) 776-0803
Mailing address
4030 ALDERWOOD MALL BLVD, LYNNWOOD, WA 98036-6763
(425) 776-0803
(425) 776-0813
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
225100000X
Physical Therapist
Primary
—
—
225700000X
Massage Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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