Integrated Manual Therapy, LLC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Legal business name

INTEGRATED MANUAL THERAPY, LLC

Practice address

18021 15TH Ave NE
Suite 201
Shoreline, WA 98155-3809

Phone

(206) 362-5255

Fax

(206) 362-5260

NPI assigned

Apr 12, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Edward J Elder, MS, ATC

Title

Office Manager

Phone

(206) 362-5255

Specialties & licenses 4

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carol J Kukolja, PT

  • Physical Therapist
  • Shoreline, WA
  • NPI 1366541815
  NPD (past)
• Lonnie R Sellers, PT

  • Physical Therapist
  • Shoreline, WA
  • NPI 1780783233
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1245294917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18021 15TH AVE NE",
            "address_2": "SUITE 201",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981553809",
            "telephone_number": "206-362-5255",
            "fax_number": "206-362-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18021 15TH AVE NE",
            "address_2": "SUITE 201",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981553809",
            "telephone_number": "206-362-5255",
            "fax_number": "206-362-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MANUAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ELDER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "206-362-5255",
        "authorized_official_credential": "MS, ATC"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT00005030",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT00003039",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT00000735",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Imadhay, PHARM D
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• Alice M Inouye, M.D.
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• Internal Medicine & Cardiology Inc PS
• International Community Health Services
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• International Community Health Services (ICHS Outpatient Behavioral Health - Shoreline)
• International Community Health Services

• Athletic Trainer in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.