Provider Demographics
NPI:1295981439
Name:VELOCITY PHYSIOTHERAPY LLC
Entity type:Organization
Organization Name:VELOCITY PHYSIOTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:LI HEN
Authorized Official - Last Name:LU
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:206-905-8575
Mailing Address - Street 1:1037 NE 65TH ST # 115
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-6655
Mailing Address - Country:US
Mailing Address - Phone:206-905-8575
Mailing Address - Fax:253-905-8554
Practice Address - Street 1:400 N 34TH ST
Practice Address - Street 2:SUITE 300
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8600
Practice Address - Country:US
Practice Address - Phone:206-905-8575
Practice Address - Fax:206-905-8554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-07
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00009466261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy