Ruth Ellen Allen, COTA
Individual provider Active NPI Physical Therapy Clinic/Center · Enumclaw, WA
NPI 1366700403 · NPPES record last updated Apr 26, 2012
Key facts
- NPI
- 1366700403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- OC 60231228 (WA)
- Practice address
- 2323 Jensen St
Enumclaw, WA 98022-3605 - Phone
- (360) 825-2541
- NPI assigned
- Apr 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC 60231228 | WA | MD | Physical Therapy Clinic/Center |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | OC 60231228 | WA | Yes |
Addresses
Primary practice location
2323 Jensen St
Enumclaw, WA 98022-3605
Mailing address
720 209TH Avenue CT E
Lake Tapps, WA 98391-5602
Phone (253) 862-4795
Other providers in Enumclaw, WA
- 1918 Winter Street Operating Co LLC
- Colm Acuff
- Cortney Lauren Adams
- Bobbijo Ainslie
- Kaleigh Lane Akers
- Chloe Noelle Anastasi
- Denise Kay Anderson-Pohlman
- James Anderson
- Ankle & Foot Specialists of Puget Sound, PS
- Ankle & Foot Specialists of Puget Sound, PS
All providers in Enumclaw, WA · Physical Therapy Clinic/Center in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2012. 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.