| Mindful Movement Physical Therapy, Llc | |
|
3005 Alderwood Mall Pkwy, Suite 100, Lynnwood, WA 98036-6920 | |
| (206) 979-1413 | |
| Not Available |
| Full Name | Mindful Movement Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3005 Alderwood Mall Pkwy, Lynnwood, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346684792 | NPI | - | NPPES |
| 0313855 | Other | WA | WA LABOR & INDUSTRIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT00005338 (Washington) | Primary |
| Provider Name | Susan C Mazzaferro Knowles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881641942 PECOS PAC ID: 0446231757 Enrollment ID: I20040525000017 |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Movement Physical Therapy, Llc Po Box 1570, Monroe, WA 98272-4570 Ph: (360) 799-6921 | Mindful Movement Physical Therapy, Llc 3005 Alderwood Mall Pkwy, Suite 100, Lynnwood, WA 98036-6920 Ph: (206) 979-1413 |
Jacob Jake Cruz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16520 Larch Way Unit Q2, Lynnwood, WA 98037 Phone: 706-832-8632 | |
Nancy Jean Mitrano, MS,PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4630 200th St Sw Ste D, Lynnwood, WA 98036 Phone: 425-778-2325 Fax: 425-778-7692 | |
Andrew Mccarthy, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4320 196th St Sw Ste D, Lynnwood, WA 98036 Phone: 425-774-8758 | |
Victoria Winbow, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3105 Alderwood Mall Blvd Ste H, Lynnwood, WA 98036 Phone: 425-582-5902 | |
Neha Dhand, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3105 Alderwood Mall Blvd, Lynnwood, WA 98036 Phone: 425-582-5902 Fax: 425-412-2980 | |
Elizabeth Patterson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19401 40th Ave W, Suite 330, Lynnwood, WA 98036 Phone: 425-670-9987 | |
Martha Lake Physical Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16406 7th Pl W, Lynnwood, WA 98037 Phone: 425-672-2910 Fax: 425-778-1872 |