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

Pedersen Outpatient Physical Therapy

Organization Physical Therapy Clinic/Center · NPI 1104040856

Pedersen Outpatient Physical Therapy is a Physical Therapy Clinic/Center in Enumclaw, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007

Practice location Address checks out

1110 Stevenson Ave Ste 100
Enumclaw, WA 98022-2647
Phone: (360) 825-7411
Fax: (360) 825-7434
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X (WA)

Record details

NPI number1104040856
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Pedersen — Therapist · (360) 825-7411
NPI enumeratedApril 12, 2007
Last updated in NPPESMarch 7, 2008
Mailing address1110 Stevenson Ave, Suite 100, Enumclaw, WA 98022-2647

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