Provider Demographics
NPI:1295890168
Name:SCHICK, ELIZABETH A (PT)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:A
Last Name:SCHICK
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4220 132ND ST SE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012-8999
Mailing Address - Country:US
Mailing Address - Phone:425-357-9380
Mailing Address - Fax:425-357-9380
Practice Address - Street 1:360 LILLY RD NE
Practice Address - Street 2:SUITE A
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-5430
Practice Address - Country:US
Practice Address - Phone:360-486-0640
Practice Address - Fax:360-486-0641
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2014-12-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAPT00010314225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA4488SCOtherREGENCE BLUE SHIELD
WA710883456-98501-A008OtherTRICARE
WA7117907OtherAETNA
WA710883456-98503-A007OtherTRICARE
WA8471112Medicaid
WA710883456-98502-A004OtherTRICARE
WA710883456-98512-A005OtherTRICARE
WA4848SCOtherREGENCE BLUE SHIELD
WA8483SCOtherREGENCE BLUE SHIELD
WA8943300OtherL&I CRIME VICTIMS
WA0216247OtherDEPT. OF LABOR & INDUSTRY
WA3348SCOtherREGENCE BLUE SHIELD
WA8483SCOtherREGENCE BLUE SHIELD