Provider Demographics
NPI:1033231436
Name:PAISANO PHYSICAL THERAPY SERVICES, INC.
Entity Type:Organization
Organization Name:PAISANO PHYSICAL THERAPY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:STEMPF
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:206-387-1946
Mailing Address - Street 1:611 MAIN ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-3096
Mailing Address - Country:US
Mailing Address - Phone:206-387-1946
Mailing Address - Fax:425-744-0280
Practice Address - Street 1:611 MAIN ST
Practice Address - Street 2:SUITE D
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98020-3096
Practice Address - Country:US
Practice Address - Phone:206-387-1946
Practice Address - Fax:425-744-0280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy