Experience Momentum, INC - Fremont

NPI #1164998548 in Seattle, Washington

Provider Information

NPI Number: 1164998548
Entity Type: Organization
Organization Name: Experience Momentum, INC - Fremont
Subpart: Yes (part of a larger organization)
Parent Organization: EXPERIENCE MOMENTUM, INC
Primary Specialty: Physical Therapist
Enumeration Date: Oct 23, 2018
Last Updated: Mar 13, 2023

Practice Location

Address: 1100 N 35TH ST
City: Seattle
State: Washington
ZIP Code: 98103-8906
Phone: (206) 309-3966

Authorized Official

Name: RHODA CHAVEZ-NOWLAN
Title: BILLING MANAGER, FINANCE
Phone: (425) 776-0803

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X
Physical Therapist	225100000X	Primary

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