Giovanni Andolina I
Individual provider Active NPI Physical Therapy Assistant · Federal Way, WA
NPI 1821497553 · NPPES record last updated Aug 20, 2014
Key facts
- NPI
- 1821497553
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- P1 60032153 (WA)
- Practice address
- 1400 S 320TH St
Federal Way, WA 98003-5374 - Phone
- (253) 735-0316
- NPI assigned
- Aug 19, 2014
- Sex
- Male
- 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 |
|---|---|---|---|
| P1 60032153 | WA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | P1 60032153 | WA | Yes |
Addresses
Primary practice location
1400 S 320TH St
Federal Way, WA 98003-5374
Mailing address
1400 South 320TH Street
Federal Way, WA 98003
Phone (253) 735-0316
Other names
- Mr. Giovanni Andolina
Other providers in Federal Way, WA
- Haley Anderson
- Kyle Anderson
- Laura Anderson
- Sharese Anderson
- Yumi Ando
- Elizabeth Joyce Andrews
- Finnley Rose Andrie
- Dmitriy Andrushchenko
- Yvette Angel
- Angela Fosmark, LLC
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 Aug 20, 2014. 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.