Provider Demographics
NPI:1609105071
Name:RELAX THERAPY
Entity Type:Organization
Organization Name:RELAX THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERRYL
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:DEVRIES
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:206-850-7508
Mailing Address - Street 1:1605 SW 165TH ST
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166-2743
Mailing Address - Country:US
Mailing Address - Phone:206-850-7508
Mailing Address - Fax:206-763-0352
Practice Address - Street 1:5021 COLORADO AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98134-2404
Practice Address - Country:US
Practice Address - Phone:206-763-0352
Practice Address - Fax:206-763-0352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-15
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00008215225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty