person
Randy A Notebloom, PT
Sports Physical Therapist in Seattle, Washington
NPI 1407993553

Randy A Notebloom is a Sports Physical Therapist based in Seattle, WA and is specialized in Sports. Randy A Notebloom practices in Seattle, WA and has the professional credentials of PT. The NPI Number for Randy A Notebloom is 1407993553 and holds a License No. PT00003291 (Washington).

The current practice location address for Randy A Notebloom is 904 7Th Ave, Seattle, WA and can be reached out via phone at 206-223-6487. You can also correspond with Randy A Notebloom through the mailing address at 1100 OLIVE WAY MSC M4-PA, SEATTLE, WA - 98101-1873 (mailing address contact number: 206-515-5811).

Location: 904 7Th Ave, Seattle, WA, 98101-1873
person
Provider Profile Details
NPI Number
1407993553
Provider Name
Randy A Notebloom
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
904 7Th Ave, Seattle, WA, 98101-1873
Phone Number
206-223-6487
Fax Number
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NO5497 01 WA BLUE SHIELD #
US1051973 01 WA AETNA SPECIALIST PIN
0039585 01 WA LABOR AND INDUSTRIES #
8342677 05 WA
P00079877 01 WA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
904 7Th Ave
City
State
Zip
98104-1132
Phone Number
206-223-6487
Fax Number
person
Provider Business Mailing Address Details
Address
904 7Th Ave
City
State
Zip
98104-1132
Phone Number
206-223-6487
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Sports
Taxonomy
License No.
PT00003291 (Washington)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
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