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Applications/Forms

Use this form to apply for initial licensure as a Physical Therapist or Physical Therapist Assistant.

  • Physical Therapist / Physical Therapist Assistant License Application

    Additional items for initial licensure

  • Verification of Electroneuromyographic Training

  • Verification of Mentored Sharp Debridement

  • Jurisprudence Exam


    Use this form to re-activate your license if it has been expired for over one year.

  • Expired Credential Reactivation Application

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    Washington State Department of Health
    Health Professions & Facilities
    243 & 310 Israel Rd SE
    P.O. Box 47865
    Olympia, Washington, 98504-7865

    Last Update : 09/24/2009 02:54 PM
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