Provider Demographics
NPI:1467967737
Name:EN POINTE PHYSICAL THERAPY, PLLC
Entity Type:Organization
Organization Name:EN POINTE PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JAYME
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BRUETT
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:425-869-2777
Mailing Address - Street 1:111 TUMWATER BLVD SE STE 113
Mailing Address - Street 2:
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98501-6422
Mailing Address - Country:US
Mailing Address - Phone:360-528-3300
Mailing Address - Fax:360-489-0040
Practice Address - Street 1:15446 BEL RED RD STE B20
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-5526
Practice Address - Country:US
Practice Address - Phone:425-869-2777
Practice Address - Fax:425-869-0167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-08
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT000106552251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty