Provider Demographics
NPI:1699410068
Name:ELEVATE INTEGRATIVE PHYSICAL THERAPY AND WELLNESS PLLC
Entity Type:Organization
Organization Name:ELEVATE INTEGRATIVE PHYSICAL THERAPY AND WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:CAITLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:360-303-9705
Mailing Address - Street 1:36 STRAWBERRY POINT CT
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-4855
Mailing Address - Country:US
Mailing Address - Phone:360-303-9705
Mailing Address - Fax:
Practice Address - Street 1:36 STRAWBERRY POINT CT
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98229-4855
Practice Address - Country:US
Practice Address - Phone:360-303-9705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-01
Last Update Date:2022-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty