Provider Demographics
NPI:1023474202
Name:RUN SEATTLE PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:RUN SEATTLE PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:NOEL
Authorized Official - Last Name:COOMER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:206-465-5650
Mailing Address - Street 1:3808 E SUPERIOR ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-6566
Mailing Address - Country:US
Mailing Address - Phone:206-601-0174
Mailing Address - Fax:
Practice Address - Street 1:106 LAKESIDE AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-6542
Practice Address - Country:US
Practice Address - Phone:206-465-5650
Practice Address - Fax:206-257-5562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-04
Last Update Date:2017-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60277365261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy