| NPI | 1013107549 |
|---|---|
| Doing Business As | ENGINEERED SPORTS THERAPY |
| Entity Type | Organization |
| Authorized Contact | LANCE M. MILLER Owner/Physical Therapist 360-852-4587 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: WA PT00008062) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2009-08-07 |