Provider Demographics
NPI:1669787818
Name:SEATTLE HILL PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:SEATTLE HILL PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:
Authorized Official - Last Name:ISMAIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-353-1988
Mailing Address - Street 1:PO BOX 1045
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37065-1045
Mailing Address - Country:US
Mailing Address - Phone:425-224-4490
Mailing Address - Fax:425-224-4491
Practice Address - Street 1:13119 SEATTLE HILL RD
Practice Address - Street 2:SUITE 107
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98296-3400
Practice Address - Country:US
Practice Address - Phone:425-224-4490
Practice Address - Fax:425-224-4491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-12
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00003695261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy