Integrated Manual Therapy, LLC
NPI #1245294917 in Shoreline, Washington
Provider Information
- NPI Number
- 1245294917
- Entity Type
- Organization
- Organization Name
- Integrated Manual Therapy, LLC
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Apr 12, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 18021 15TH AVE NE
- Address 2
- SUITE 201
- City
- Shoreline
- State
- Washington
- ZIP Code
- 98155-3809
- Phone
- (206) 362-5255
Authorized Official
- Name
- EDWARD J ELDER, MS, ATC
- Title
- OFFICE MANAGER
- Phone
- (206) 362-5255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Orthopedic — Orthopedic |
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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| Matthew Pettersen, LAT, ATC | |
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| MRS. Brooke Smith, PA-C, ATC, LAT | |
| Victoria Lynn Wentz, ATC | |
| Antonio Gudino JR., ATC/LAT |
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