Provider Demographics
NPI:1871833046
Name:NEXT STEP PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:NEXT STEP PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:425-422-2806
Mailing Address - Street 1:7105 180TH ST SE
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98296-5336
Mailing Address - Country:US
Mailing Address - Phone:360-668-7816
Mailing Address - Fax:360-668-7199
Practice Address - Street 1:7105 180TH ST SE
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98296-5336
Practice Address - Country:US
Practice Address - Phone:360-668-7816
Practice Address - Fax:360-668-7199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-25
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty