Provider Demographics
NPI:1841906948
Name:EMPOWER MANUAL THERAPY
Entity type:Organization
Organization Name:EMPOWER MANUAL THERAPY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST, CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:RENATA
Authorized Official - Last Name:GATMAYTAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:206-552-9201
Mailing Address - Street 1:16300 AURORA AVE N STE A
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-2602
Mailing Address - Country:US
Mailing Address - Phone:206-552-9201
Mailing Address - Fax:206-590-5914
Practice Address - Street 1:16300 AURORA AVE N STE A
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-2602
Practice Address - Country:US
Practice Address - Phone:206-552-9201
Practice Address - Fax:206-590-5914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-24
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty