NPI 1285452789 · live from the CMS NPI Registry
Adeline Physical Therapy PLLC
Physical Therapist, Human Factors in Puyallup, WA. National Provider Identifier 1285452789, active.
NPI record
| NPI | 1285452789 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist, Human Factors 2251H1300X |
| Practice location | 1429 20th Ave Sw, Puyallup, WA 98371 |
| Practice phone | 253-256-5505 |
| Enumerated | October 2, 2024 |
| Last updated | October 2, 2024 |
| Authorized official | Colin Mcdannel, Owner |
| Other names | Adeline Physical Therapy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | — |
| Physical Therapist, Ergonomics | 2251E1200X | — |
| Physical Therapist, Geriatrics | 2251G0304X | — |
| Physical Therapist, Human Factors primary | 2251H1300X | — |
| Physical Therapist, Sports | 2251S0007X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.