Organization
PIONEER SPORTS AND PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J LEFFMANN MPT (OWNER)
(206) 264-9780
Entity
Organization
Contact information
Practice address
506 SECOND AVENUE, SUITE 100, SEATTLE, WA 98104
(206) 264-9780
Mailing address
506 SECOND AVENUE, SUITE 100, SEATTLE, WA 98104
(206) 264-9780
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142436
WASHINGTON LABOR & INDUST
WA
01
—
4614402
AETNA PROVIDER NUMBER
WA
01
—
5268LE
REGENCE BCBS NUMBER
WA
05
—
7113897
—
WA
01
—
8935255
CRIME VICTIMS COMPENSATIO
WA
Enumeration date
05/03/2007
Last updated
08/22/2020
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