Provider Demographics
NPI:1134405822
Name:BIOJUNCTION SPORTS THERAPY, PLLC
Entity type:Organization
Organization Name:BIOJUNCTION SPORTS THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LORA
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:CLOTHIER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:206-938-0860
Mailing Address - Street 1:3727 CALIFORNIA AVE SW
Mailing Address - Street 2:SUITE 1-A
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-4303
Mailing Address - Country:US
Mailing Address - Phone:206-938-0860
Mailing Address - Fax:206-938-0866
Practice Address - Street 1:3727 CALIFORNIA AVE SW
Practice Address - Street 2:SUITE 1-A
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-4303
Practice Address - Country:US
Practice Address - Phone:206-938-0860
Practice Address - Fax:206-938-0866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-26
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00009027261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy