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Contact Information

LAKE CHELAN PHYSICAL THERAPY, PS
123 E JOHNSON AVE
CHELAN, WA98816
 Phone: 509-682-4713
 Fax: 509-682-3218
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy

261QP2000X
Indicates primary specialty

NPI Profile & details for LAKE CHELAN PHYSICAL THERAPY, PS

NPI Number 1407837453
LBN Legal business name LAKE CHELAN PHYSICAL THERAPY, PS
Authorized official BRENDA TAYLOR - (BOOKKEEPER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/08/2005
Last updated 08/22/2020 - About 6 years ago
Identifiers
WA Medicaid 7047947
WA Other 33460 COMPANY L&I ID
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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