Provider Demographics
NPI:1689106411
Name:BEND & STRETCH PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:BEND & STRETCH PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATERYNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-688-4403
Mailing Address - Street 1:2332 50TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-2309
Mailing Address - Country:US
Mailing Address - Phone:918-688-4403
Mailing Address - Fax:206-297-4261
Practice Address - Street 1:2332 50TH AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-2309
Practice Address - Country:US
Practice Address - Phone:918-688-4403
Practice Address - Fax:206-430-5059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-30
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60184214261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy