Provider Demographics
NPI:1407045578
Name:U.S. HEALTHWORKS
Entity Type:Organization
Organization Name:U.S. HEALTHWORKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:TISETH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-774-8758
Mailing Address - Street 1:4320 196TH ST SW
Mailing Address - Street 2:SUITE D
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-6773
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4320 196TH ST SW
Practice Address - Street 2:SUITE D
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-6773
Practice Address - Country:US
Practice Address - Phone:425-967-0051
Practice Address - Fax:425-967-0053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00009950261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy