Linda Jean Hatfield, MSC RPT
Individual provider Active NPI Physical Therapist · Vashon Island, WA
NPI 1104035542 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104035542
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 21226 Tramp Harbor Dr SW
Vashon Island, WA 98070-6704 - Phone
- (206) 463-9251
- Fax
- (206) 463-3739
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C600625826 | WA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | WA | Yes |
Addresses
Primary practice location
21226 Tramp Harbor Dr SW
Vashon Island, WA 98070-6704
Mailing address
21226 Tramp Harbor Dr SW
Vashon Island, WA 98070-6704
Phone (206) 463-9251
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7044787 | Medicaid | WA | |
| 556221 | Other | WA | DDD |
Other providers in Vashon Island, WA
All providers in Vashon Island, WA · Physical Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.