Provider Demographics
NPI:1588743108
Name:HAMPTON, ELIZABETH MARSH (PT, WCS, BCIA-PMBD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MARSH
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:PT, WCS, BCIA-PMBD
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Mailing Address - Street 1:1514 12TH STREET
Mailing Address - Street 2:SUITE #103
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225
Mailing Address - Country:US
Mailing Address - Phone:360-752-2673
Mailing Address - Fax:360-752-0271
Practice Address - Street 1:1514 12TH STREET
Practice Address - Street 2:SUITE #103
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225
Practice Address - Country:US
Practice Address - Phone:360-752-2673
Practice Address - Fax:360-752-0271
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAPT000036662251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAP78834Medicare UPIN