| Organization Name: | IMPACT PHYSICAL THERAPY, P.S. |
| NPI Number: | 1922178201 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NANCY MITRANO (OWNER-IMPACT PHYSICAL THERAPY, P.S.) |
| Mailing Address: | 6101 200th St Sw Ste 208 Lynnwood |
| State: | WA US |
| Postal Code: | 980366077 |
| Phone Number: | 4257782325 |
| Fax Number: | 4257787692 |
| NPI Enumeration Date: | 11/08/2006 |
| NPI Last Update Date: | 07/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT00008381 |
| 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 |