Provider Demographics
NPI:1346357258
Name:MCNERTHNEY, PAIGE A (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:PAIGE
Middle Name:A
Last Name:MCNERTHNEY
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2857 NW 73RD ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-6254
Mailing Address - Country:US
Mailing Address - Phone:425-485-5444
Mailing Address - Fax:425-485-5588
Practice Address - Street 1:1909 214TH ST SE
Practice Address - Street 2:SUITE 115
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98021-4412
Practice Address - Country:US
Practice Address - Phone:425-485-5444
Practice Address - Fax:425-485-5588
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT000090832251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1346357258Medicaid
WA8364051Medicaid
WA8364051Medicaid
WAG8890871Medicare PIN