Provider Demographics
NPI:1275733784
Name:MERRITT, FRANKLIN R (PT, OCS, CSCS)
Entity Type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:R
Last Name:MERRITT
Suffix:
Gender:M
Credentials:PT, OCS, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4040 ORCHARD ST W.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FIRCREST
Mailing Address - State:WA
Mailing Address - Zip Code:98466
Mailing Address - Country:US
Mailing Address - Phone:253-564-1560
Mailing Address - Fax:253-564-4449
Practice Address - Street 1:5814 GRAHAM AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:SUMNER
Practice Address - State:WA
Practice Address - Zip Code:98390-2728
Practice Address - Country:US
Practice Address - Phone:253-891-7093
Practice Address - Fax:253-891-1033
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00008051225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist