Provider Demographics
NPI:1336471143
Name:TUOHY PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:TUOHY PHYSICAL THERAPY LLC
Other - Org Name:ADVANTAGE PHYSICAL THERAPY AND SPORTS REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:TUOHY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:425-883-9630
Mailing Address - Street 1:7525 166TH AVE NE STE D225
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-7828
Mailing Address - Country:US
Mailing Address - Phone:425-883-9630
Mailing Address - Fax:877-206-1253
Practice Address - Street 1:7551 166TH AVE NE
Practice Address - Street 2:D225
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-7811
Practice Address - Country:US
Practice Address - Phone:425-883-9630
Practice Address - Fax:877-206-1253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-03
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA602963991261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy