Provider Demographics
NPI:1437539335
Name:RESILIENCE A PHYSICAL THERAPY AND PILATES STUDIO
Entity Type:Organization
Organization Name:RESILIENCE A PHYSICAL THERAPY AND PILATES STUDIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BEATTY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:206-280-9897
Mailing Address - Street 1:3918 SW MONROE ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98136-2335
Mailing Address - Country:US
Mailing Address - Phone:206-280-9897
Mailing Address - Fax:
Practice Address - Street 1:2915 E MADISON ST
Practice Address - Street 2:SUITE 205
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-4265
Practice Address - Country:US
Practice Address - Phone:206-280-9897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-05
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty