Provider Demographics
NPI:1730653403
Name:FUSION PHYSICAL THERAPY AND WELLNESS, PLLC
Entity Type:Organization
Organization Name:FUSION PHYSICAL THERAPY AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPISTS
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:N
Authorized Official - Last Name:MAGERS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:425-610-8122
Mailing Address - Street 1:420 STILLMEADOW RD
Mailing Address - Street 2:
Mailing Address - City:COUPEVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98239-9723
Mailing Address - Country:US
Mailing Address - Phone:425-610-8122
Mailing Address - Fax:360-279-8221
Practice Address - Street 1:420 STILLMEADOW RD
Practice Address - Street 2:
Practice Address - City:COUPEVILLE
Practice Address - State:WA
Practice Address - Zip Code:98239-9723
Practice Address - Country:US
Practice Address - Phone:425-610-8122
Practice Address - Fax:360-279-8221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-16
Last Update Date:2020-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty