Provider Demographics
NPI:1700420098
Name:PRECISION PHYSICAL THERAPY, PLLC
Entity Type:Organization
Organization Name:PRECISION PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:KIZINKEWICH
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:360-207-4541
Mailing Address - Street 1:5339 MYERS DR
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98248-8982
Mailing Address - Country:US
Mailing Address - Phone:360-207-4541
Mailing Address - Fax:360-461-0027
Practice Address - Street 1:1704 N STATE ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4605
Practice Address - Country:US
Practice Address - Phone:360-207-4541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-30
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy