Provider Demographics
NPI:1336506682
Name:A2 THERAPIES
Entity Type:Organization
Organization Name:A2 THERAPIES
Other - Org Name:A2 PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALIKA
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:ANTONE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:253-307-9770
Mailing Address - Street 1:3819 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98406-4903
Mailing Address - Country:US
Mailing Address - Phone:253-307-9770
Mailing Address - Fax:253-844-4138
Practice Address - Street 1:3819 6TH AVE
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-4903
Practice Address - Country:US
Practice Address - Phone:253-307-9770
Practice Address - Fax:253-844-4138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-18
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00009929225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty