Provider Demographics
NPI:1003825043
Name:AALBU, LANCE TODD (MPT, CSCS)
Entity Type:Individual
Prefix:
First Name:LANCE
Middle Name:TODD
Last Name:AALBU
Suffix:
Gender:M
Credentials:MPT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6618 64TH ST NE
Mailing Address - Street 2:SUITE D
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98270-4883
Mailing Address - Country:US
Mailing Address - Phone:360-653-5800
Mailing Address - Fax:360-653-5880
Practice Address - Street 1:6618 64TH ST NE
Practice Address - Street 2:SUITE D
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98270-4883
Practice Address - Country:US
Practice Address - Phone:360-653-5800
Practice Address - Fax:360-653-5880
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00008156225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist