Provider Demographics
NPI:1922672898
Name:EXPANSE PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:EXPANSE PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TURCOTTE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:203-887-2305
Mailing Address - Street 1:6731 DIBBLE AVE NW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-5140
Mailing Address - Country:US
Mailing Address - Phone:203-887-2305
Mailing Address - Fax:
Practice Address - Street 1:6731 DIBBLE AVE NW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98117-5140
Practice Address - Country:US
Practice Address - Phone:203-887-2305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-16
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy