Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251S0007X | Physical Therapist - Sports | 070.025215 | IL |
Y | 2251S0007X | Physical Therapist - Sports | PT61061339 | WA |
NPI | 1326634981 |
---|---|
Provider Name | Dr. Stephen Coombs |
First Address | Seattle, WA 98101 |
Second Address | Seattle, WA 98101-2756 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/12/2020 |
Last Update Date | 17/01/2022 |