Organization
THERAPY MANAGEMENT SERVICES, PLLC
Active
Other names
RET Physical Therapy & Healthcare Specialists, Bothell Physical Therapy, Bothell Physical Therapy, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DWAN DIAZ (CREDENTIALING COORDINATOR)
(813) 560-8157
Entity
Organization
Contact information
Practice address
19110 BOTHELL WAY NE STE 203, BOTHELL, WA 98011-2970
(425) 939-2806
(425) 939-0732
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(813) 560-8157
(425) 452-0704
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
WA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
07/06/2012
Last updated
11/30/2022
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