NPI 1295758316 · live from the CMS NPI Registry
Mary Elizabeth Ackerman, PT
Physical Therapist in Duvall, WA. National Provider Identifier 1295758316, active.
NPI record
| NPI | 1295758316 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 15435 Main St Ne # 101, Duvall, WA 98019 |
| Practice phone | 425-402-9772 |
| Mailing address | 17618 140th Ave Ne, Woodinville, WA 98072 |
| Enumerated | July 26, 2006 |
| Last updated | October 10, 2013 |
| Sole proprietor | No |
| Other names | Mary Beth Ackerman |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | PT00008405 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.