Provider Demographics
NPI:1518197433
Name:APPLE, ELIZABETH L
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:L
Last Name:APPLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:L
Other - Last Name:APPLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPT
Mailing Address - Street 1:35314 SE CENTER ST
Mailing Address - Street 2:
Mailing Address - City:SNOQUALMIE
Mailing Address - State:WA
Mailing Address - Zip Code:98065-9216
Mailing Address - Country:US
Mailing Address - Phone:425-394-3661
Mailing Address - Fax:425-642-3057
Practice Address - Street 1:35314 SE CENTER ST
Practice Address - Street 2:
Practice Address - City:SNOQUALMIE
Practice Address - State:WA
Practice Address - Zip Code:98065-9216
Practice Address - Country:US
Practice Address - Phone:425-394-3661
Practice Address - Fax:425-642-3057
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-27
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14682225100000X
WAPU60097479225100000X
WAPT60100579208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist