Doctor Name: | JUSTIN E HARRIS |
NPI Number: | 1417994492 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | PT00009879 |
Business Practice Address: | 10511 19th Ave Se Suite B Everett, WA - 982084279 |
Business Phone Number: | 4253578885 |
Business Fax Number: | 4253578454 |
Mailing Address: | 18323 Bothell Everett Hwy, Suite 220 BOTHELL |
State: | WA |
Postal Code: | 980125246 |
Phone Number: | 4258065700 |
Fax Number: | 4258065701 |
NPI Enumeration Date: | 05/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT00009879 |
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 |