Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT 60514117 | WA |
N | 2251C2600X | Cardiopulmonary | PT 60514117 | WA |
N | 2251E1200X | Ergonomics | PT 60514117 | WA |
N | 225XE1200X | Ergonomics | PT 60514117 | WA |
N | 2251G0304X | Physical Therapist - Geriatrics | PT 60514117 | WA |
N | 2251H1200X | Hand | PT 60514117 | WA |
N | 2251H1300X | Human Factors | PT 60514117 | WA |
N | 225XH1300X | Human Factors | PT 60514117 | WA |
N | 2251P0200X | Physical Therapist - Pediatrics | PT 60514117 | WA |
N | 2251S0007X | Physical Therapist - Sports | PT 60514117 | WA |
N | 2251X0800X | Physical Therapist - Orthopedic | PT 60514117 | WA |
NPI | 1609273598 |
---|---|
Provider Name | Phillip Higgins |
First Address | Kirkland, WA 98033-6174 |
Second Address | Seattle, WA 98195-6174 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2014 |
Last Update Date | 20/11/2014 |