| Organization Name: | MARINE VIEW PHYSICAL THERAPY, INC |
| NPI Number: | 1619018215 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEROME ELLIOTT SCANLON (BUSINESS OWNER) |
| Mailing Address: | 22007 Marine View Dr S Ste 203 Des Moines |
| State: | WA US |
| Postal Code: | 981986259 |
| Phone Number: | 2065920568 |
| Fax Number: | 2065920583 |
| NPI Enumeration Date: | 02/08/2007 |
| NPI Last Update Date: | 04/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 602252479 |
| 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 |