| Doctor Name: | MR. JAMES C FULLER |
| NPI Number: | 1124028634 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHYSICAL THERAPIST |
| License Number: | PT3076 |
| Business Practice Address: | 31200 23rd Ave South Federal Way, WA - 98003 |
| Business Phone Number: | 2538393403 |
| Business Fax Number: | 2538393412 |
| Mailing Address: | Po Box 6225, FEDERAL WAY |
| State: | WA |
| Postal Code: | 98063 |
| Phone Number: | 2538393403 |
| Fax Number: | 2538393412 |
| NPI Enumeration Date: | 07/26/2005 |
| NPI Last Update Date: | 06/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT3076 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |