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 provides Physical Therapist services 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 Not confirmed with CMS for 13 years — call before visiting
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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