| NPI | 1023016102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER KREIZENBECK Owner 208-891-4849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 601696113) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2026-06-15 |