Bellevue Sports Medicine Clinic INC
NPI #1124039870 in Bellevue, Washington
Provider Information
- NPI Number
- 1124039870
- Entity Type
- Organization
- Organization Name
- Bellevue Sports Medicine Clinic INC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Aug 10, 2006
- Last Updated
- Dec 5, 2007
Practice Location
- Address
- 11400 SE 6TH ST
- Address 2
- SUITE 130
- City
- Bellevue
- State
- Washington
- ZIP Code
- 98004-6423
- Phone
- (425) 455-0699
Authorized Official
- Name
- KEELY J KOWALCHUK, PT
- Title
- DIRECTOR
- Phone
- (425) 455-0699
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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