Provider Demographics
NPI:1235717877
Name:DIVERGENT PHYSICAL THERAPY, PLLC
Entity Type:Organization
Organization Name:DIVERGENT PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:BENJAMIN
Authorized Official - Last Name:CURME
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:360-389-3581
Mailing Address - Street 1:1433 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-4512
Mailing Address - Country:US
Mailing Address - Phone:360-389-3581
Mailing Address - Fax:
Practice Address - Street 1:1433 N STATE ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4512
Practice Address - Country:US
Practice Address - Phone:360-389-3581
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy