Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Martha Lake Physical Therapy Inc

Organization Physical Therapist · NPI 1104265412

Martha Lake Physical Therapy Inc is a Physical Therapist in Lynnwood, Washington. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16406 7th Pl W
Lynnwood, WA 98037-8100
Phone: (425) 672-2910
Fax: (425) 778-1872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1104265412
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Waldron — Ceo · (425) 672-2910
Other names Axis Physical Therapy Inc
NPI enumeratedJune 19, 2013
Last updated in NPPESJune 19, 2013
Mailing address21009 76th Ave W, C/O Axis Physical Therapy, Edmonds, WA 98026-7126

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