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120 Lakeside Ave, Suite 210, Seattle, WA 98122-6533 | |
| (206) 925-3762 | |
| (206) 324-3600 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 120 Lakeside Ave, Seattle, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073948378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT00008718 (Washington) | Primary |
| Provider Name | Lisa Michele Eaton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407978919 PECOS PAC ID: 7416939616 Enrollment ID: I20040602000817 |
| Provider Name | Julie Janes Grove |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871556373 PECOS PAC ID: 7113984295 Enrollment ID: I20041210000557 |
| Provider Name | Mark T Hinderaker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780299750 PECOS PAC ID: 0143649293 Enrollment ID: I20200923002281 |
| Provider Name | Aaron Jeong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275271314 PECOS PAC ID: 7810376803 Enrollment ID: I20220622001293 |
| Provider Name | Alexa Jordan Burwell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710590633 PECOS PAC ID: 0941612345 Enrollment ID: I20221004002190 |
| Provider Name | Katelin Christina Wisenor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588494082 PECOS PAC ID: 4789116930 Enrollment ID: I20241014002119 |
| Mailing Address | Practice Location Address |
|---|---|
120 Lakeside Ave, Suite 210, Seattle, WA 98122-6533 Ph: (206) 925-3762 | 120 Lakeside Ave, Suite 210, Seattle, WA 98122-6533 Ph: (206) 925-3762 |
Mrs. Carol Grant, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5311 Phinney Ave North, Norse Home, Seattle, WA 98103 Phone: 206-781-7436 Fax: 206-781-7414 | |
Julia J Visser, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Box 359920, Seattle, WA 98104 Phone: 206-744-1675 Fax: 206-744-1664 | |
Amelia V. Rivera, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-774-3300 | |
Lori L. Vos, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1200 12th Ave S, Seattle, WA 98144 Phone: 206-326-2400 | |
Nicole Siegel Bulow, PT, DPT, CFMT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4839 S Brandon St, Seattle, WA 98118 Phone: 415-264-0191 | |
Benjamin Tappen Kern, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1107 Ne 45th St Ste 100, Seattle, WA 98105 Phone: 206-545-7844 Fax: 206-545-7843 | |
Sean Michael Strosnider, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2611 Ne 125th St Ste 140, Seattle, WA 98125 Phone: 206-361-4745 |