| Organization Name: | MINDFUL MOVEMENT PHYSICAL THERAPY, LLC |
| NPI Number: | 1346684792 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSAN C MAZZAFERRRO-KNOWLES (OWNER/PHYSICAL THERAPIST) |
| Mailing Address: | 3005 Alderwood Mall Pkwy Suite 100 Lynnwood |
| State: | WA US |
| Postal Code: | 980366920 |
| Phone Number: | 2069791413 |
| Fax Number: | |
| NPI Enumeration Date: | 04/28/2013 |
| NPI Last Update Date: | 04/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT00005338 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| 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 |