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SIMONETTI PHYSICAL THERAPY INCORPORATION NPI 1700097649


NPI Information

NPI: 1700097649
Provider Name: SIMONETTI PHYSICAL THERAPY INCORPORATION
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
4044 15TH LN SE
SUITE B
LACEY, WA
ZIP 98503
Phone: (360) 456-5154
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SIMONETTI PHYSICAL THERAPY INCORPORATION is a specialist in Lacey, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SIMONETTI PHYSICAL THERAPY INCORPORATION NPI is 1700097649. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4044 15TH LN SE
SUITE B
LACEY, WA
ZIP 98503-962
Phone: (360) 456-5154
Fax: (360) 456-0844

The provider's authorized official is Deborah May Simonetti .
The authorized official title is OWNER OPERATOROperator and has the following contact phone number (360) 456-5154.

The enumeration date for this NPI number is 5/24/2007 and was last updated on 10/2/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistPT00002344WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17071855MEDICAIDWASHINGTON
2AB09639MEDICARE UPINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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