Provider Demographics
NPI:1639392905
Name:KIRKLAND PHYSICAL THERAPY, INC., P.S.
Entity Type:Organization
Organization Name:KIRKLAND PHYSICAL THERAPY, INC., P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAMI
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-820-8474
Mailing Address - Street 1:13118 121ST WAY NE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-3004
Mailing Address - Country:US
Mailing Address - Phone:425-820-8474
Mailing Address - Fax:
Practice Address - Street 1:13118 121ST WAY NE
Practice Address - Street 2:SUITE 201
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-3004
Practice Address - Country:US
Practice Address - Phone:425-820-8474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty