Debra Lynnette Bathurst, PHYSICAL THERAPIST A
Individual provider Active NPI Physical Therapy Assistant · Federal Way, WA
NPI 1720183379 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720183379
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 014931 (FL)
- Practice address
- 31919 1 St Ave S
Suite 101
Federal Way, WA 98003 - Phone
- (253) 874-3092
- NPI assigned
- Sep 14, 2006
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014931 | FL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 014931 | FL | Yes |
Addresses
Primary practice location
31919 1 St Ave S
Suite 101
Federal Way, WA 98003
Mailing address
21907 39TH Place S
Kent, WA 98032
Phone (206) 715-7968
Other providers in Federal Way, WA
- Sandra Bassler
- Robert D Basta
- Rachel Diane Bastida
- Bastron Chiropractic Inc
- Michael Keith Bastron
- Yuki Patricia Battan
- Maureen Batterberry
- John M Bauman
- Aileen Bautista
- Berry Dale Baxley
All providers in Federal Way, WA · Physical Therapy Assistant 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.