Provider Demographics
NPI:1063635340
Name:KIRKLAND PHYSICAL THERAPY, INC., P.S.
Entity Type:Organization
Organization Name:KIRKLAND PHYSICAL THERAPY, INC., P.S.
Other - Org Name:NOVELTY HILL PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAMI
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-820-8474
Mailing Address - Street 1:23515 NE NOVELTY HILL RD
Mailing Address - Street 2:SUITE B-213
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98053-1996
Mailing Address - Country:US
Mailing Address - Phone:425-868-5260
Mailing Address - Fax:
Practice Address - Street 1:23515 NE NOVELTY HILL RD
Practice Address - Street 2:SUITE B-213
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98053-1996
Practice Address - Country:US
Practice Address - Phone:425-868-5260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KIRKLAND PHYSICAL THERAPY, INC., P.S.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-11
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty