Provider Demographics
NPI:1023057304
Name:SCHOOS, ALICE G (PT)
Entity type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:G
Last Name:SCHOOS
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Gender:F
Credentials:PT
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Mailing Address - Street 1:12501 BEL RED RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-2509
Mailing Address - Country:US
Mailing Address - Phone:425-450-9801
Mailing Address - Fax:425-450-9778
Practice Address - Street 1:1605 116TH AVE NE
Practice Address - Street 2:SUITE 110
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3034
Practice Address - Country:US
Practice Address - Phone:425-450-9801
Practice Address - Fax:425-450-9778
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2016-08-31
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Provider Licenses
StateLicense IDTaxonomies
WAPT00002807225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8330664Medicaid
WA8330664Medicaid