Individual
ANDREA NICOLE SCHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
11711 NE 12TH ST, SUITE 3A, BELLEVUE, WA 98005-2461
(425) 450-9474
(425) 452-0704
Mailing address
11711 NE 12TH ST, SUITE 3A, BELLEVUE, WA 98005-2461
(425) 450-9474
(425) 452-0704
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60100038
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952532137
—
WA
01
—
G8883709
MEDICARE PTAN NUMBER
WA
Enumeration date
08/05/2009
Last updated
04/05/2012
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