Doctor Name: | MR. WADE RANDALL ZINN |
NPI Number: | 1629152442 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T, |
License Number: | PT00005860 |
Business Practice Address: | 19611 7th Ave Ne Suite 200 Poulsbo, WA - 983707384 |
Business Phone Number: | 3606977710 |
Business Fax Number: | 3607793829 |
Mailing Address: | 19611 7th Ave Ne, Suite 200 POULSBO |
State: | WA |
Postal Code: | 983707384 |
Phone Number: | 3606977710 |
Fax Number: | 3607793829 |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT00005860 |
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 |