Provider Demographics
NPI:1295320356
Name:WA PHYSICAL THERAPY SPECIALIST PLLC
Entity type:Organization
Organization Name:WA PHYSICAL THERAPY SPECIALIST PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:BATANGLAWIN
Authorized Official - Last Name:YAPYAPAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:206-499-4210
Mailing Address - Street 1:962 INDUSTRY DR
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98188-3412
Mailing Address - Country:US
Mailing Address - Phone:206-765-6600
Mailing Address - Fax:206-826-1996
Practice Address - Street 1:962 INDUSTRY DR
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188-3412
Practice Address - Country:US
Practice Address - Phone:206-765-6600
Practice Address - Fax:206-826-1996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-01
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy