Woodland Creek Physical Therapy Llc

LBN: Woodland Creek Physical Therapy Llc
Woodland Creek Physical Therapy Llc is an health care organization with primary practice located at 5205 Corporate Center Ct Se Suite C, Lacey WA 98503-5901. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Woodland Creek Physical Therapy Llc can be contacted via phone (360) 412-1367, or through Ensign, Scott O. via phone (360) 412-1367.

Contact Information

Primary practice address
5205 Corporate Center Ct Se Suite C Lacey WA 98503-5901
Phone: (360) 412-1367
Fax: (360) 412-1391
Website:
Map and Directions
Authorized official contact:
Name: Ensign, Scott O. MPT, JSCC
Phone: (360) 412-1367

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 602 027 552 Washington
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1578640124
LBN Legal business name Woodland Creek Physical Therapy Llc
DBA Doing business as
Authorized official Ensign, Scott O. MPT, JSCC
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated May 19th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578640124 NPPES
Washington MEDICAID 7102437

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