Provider Demographics
NPI:1598499030
Name:COMPLETE PHYSICAL THERAPY P.S.
Entity Type:Organization
Organization Name:COMPLETE PHYSICAL THERAPY P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BESS
Authorized Official - Middle Name:W
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-314-5762
Mailing Address - Street 1:7304 LAKEWOOD DR W STE 23
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-7920
Mailing Address - Country:US
Mailing Address - Phone:253-314-5951
Mailing Address - Fax:253-314-5951
Practice Address - Street 1:7304 LAKEWOOD DR W STE 23
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-7920
Practice Address - Country:US
Practice Address - Phone:253-314-5951
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty