Provider Demographics
NPI:1235645805
Name:INSIGHT PHYSIO, PLLC
Entity Type:Organization
Organization Name:INSIGHT PHYSIO, PLLC
Other - Org Name:ANDRA DEVOGHT, PT, MPH
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:DEVOGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-953-1133
Mailing Address - Street 1:PO BOX 2537
Mailing Address - Street 2:
Mailing Address - City:VASHON
Mailing Address - State:WA
Mailing Address - Zip Code:98070-2537
Mailing Address - Country:US
Mailing Address - Phone:206-953-1133
Mailing Address - Fax:844-666-7401
Practice Address - Street 1:17641 VASHON HWY SW
Practice Address - Street 2:
Practice Address - City:VASHON
Practice Address - State:WA
Practice Address - Zip Code:98070-2537
Practice Address - Country:US
Practice Address - Phone:206-953-1133
Practice Address - Fax:844-666-7401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-19
Last Update Date:2018-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy