Provider Demographics
NPI:1891123139
Name:SOUND BODIES AT HOME, LLC
Entity Type:Organization
Organization Name:SOUND BODIES AT HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER, MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SASKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:POSTMA
Authorized Official - Suffix:
Authorized Official - Credentials:PT, CSCS
Authorized Official - Phone:360-731-2657
Mailing Address - Street 1:18938 DIVISION AVE NE
Mailing Address - Street 2:
Mailing Address - City:SUQUAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98392-9723
Mailing Address - Country:US
Mailing Address - Phone:360-731-2657
Mailing Address - Fax:360-930-8318
Practice Address - Street 1:18938 DIVISION AVE NE
Practice Address - Street 2:
Practice Address - City:SUQUAMISH
Practice Address - State:WA
Practice Address - Zip Code:98392-9723
Practice Address - Country:US
Practice Address - Phone:360-731-2657
Practice Address - Fax:360-930-8318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-24
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT000067952251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatricsGroup - Multi-Specialty